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This is VAERS ID 902672

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/18/2020

VAERS ID: 902672
VAERS Form:2
Age:33.0
Sex:Female
Location:Massachusetts
Vaccinated:2020-12-15
Onset:2020-12-15
Submitted:0000-00-00
Entered:2020-12-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Erythema, Joint swelling, Pruritus, Peripheral swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: alyacen birth control, minocycline, trintellix
Current Illness: none
Preexisting Conditions: NOS hypersomnia, anxiety, exercise induced asthma
Allergies: nickel, metals, environmental weeds grass trees mold mold spores dust dust mites cockroaches feathers
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: Left arm swelling of forearm, old L wrist tattoo because raised and lifted out of skin approx 3 mm, whole arm was itching with several red dots; reaction resolved within 8 hours without intervention body wide itching persisting now


Changed on 12/24/2020

VAERS ID: 902672 Before After
VAERS Form:2
Age:33.0
Sex:Female
Location:Massachusetts
Vaccinated:2020-12-15
Onset:2020-12-15
Submitted:0000-00-00
Entered:2020-12-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Erythema, Joint swelling, Pruritus, Peripheral swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: alyacen birth control, minocycline, trintellix
Current Illness: none
Preexisting Conditions: NOS hypersomnia, anxiety, exercise induced asthma
Allergies: nickel, metals, environmental weeds grass trees mold mold spores dust dust mites cockroaches feathers feathers
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: Left arm swelling of forearm, old L wrist tattoo because raised and lifted out of skin approx 3 mm, whole arm was itching with several red dots; reaction resolved within 8 hours without intervention body wide itching persisting now


Changed on 12/30/2020

VAERS ID: 902672 Before After
VAERS Form:2
Age:33.0
Sex:Female
Location:Massachusetts
Vaccinated:2020-12-15
Onset:2020-12-15
Submitted:0000-00-00
Entered:2020-12-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Erythema, Joint swelling, Pruritus, Peripheral swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: alyacen birth control, minocycline, trintellix
Current Illness: none
Preexisting Conditions: NOS hypersomnia, anxiety, exercise induced asthma
Allergies: nickel, metals, environmental weeds grass trees mold mold spores dust dust mites cockroaches feathers feathers
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: Left arm swelling of forearm, old L wrist tattoo because raised and lifted out of skin approx 3 mm, whole arm was itching with several red dots; reaction resolved within 8 hours without intervention body wide itching persisting now


Changed on 5/7/2021

VAERS ID: 902672 Before After
VAERS Form:2
Age:33.0
Sex:Female
Location:Massachusetts
Vaccinated:2020-12-15
Onset:2020-12-15
Submitted:0000-00-00
Entered:2020-12-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Erythema, Joint swelling, Pruritus, Peripheral swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: alyacen birth control, minocycline, trintellix
Current Illness: none
Preexisting Conditions: NOS hypersomnia, anxiety, exercise induced asthma
Allergies: nickel, metals, environmental weeds grass trees mold mold spores dust dust mites cockroaches feathers feathers
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: Left arm swelling of forearm, old L wrist tattoo because raised and lifted out of skin approx 3 mm, whole arm was itching with several red dots; reaction resolved within 8 hours without intervention body wide itching persisting now


Changed on 5/14/2021

VAERS ID: 902672 Before After
VAERS Form:2
Age:33.0
Sex:Female
Location:Massachusetts
Vaccinated:2020-12-15
Onset:2020-12-15
Submitted:0000-00-00
Entered:2020-12-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Erythema, Joint swelling, Pruritus, Peripheral swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: alyacen birth control, minocycline, trintellix
Current Illness: none
Preexisting Conditions: NOS hypersomnia, anxiety, exercise induced asthma
Allergies: nickel, metals, environmental weeds grass trees mold mold spores dust dust mites cockroaches feathers feathers
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: Left arm swelling of forearm, old L wrist tattoo because raised and lifted out of skin approx 3 mm, whole arm was itching with several red dots; reaction resolved within 8 hours without intervention body wide itching persisting now

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