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This is VAERS ID 902728

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/18/2020

VAERS ID: 902728
VAERS Form:2
Age:34.0
Sex:Female
Location:Texas
Vaccinated:2020-12-15
Onset:2020-12-16
Submitted:0000-00-00
Entered:2020-12-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH PAA156057 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Peripheral swelling, Product administered at inappropriate site

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: BCPs (birth control pills)
Current Illness: None
Preexisting Conditions: MigRaines as 12/16/20
Allergies: Penicillin + Sulfa
Diagnostic Lab Data: (-)
CDC 'Split Type':

Write-up: Swelling on arm. Placement lower than deltoid, 4 cm. treated with corticosteroids, antihistamines


Changed on 12/24/2020

VAERS ID: 902728 Before After
VAERS Form:2
Age:34.0
Sex:Female
Location:Texas
Vaccinated:2020-12-15
Onset:2020-12-16
Submitted:0000-00-00
Entered:2020-12-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH PAA156057 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Peripheral swelling, Product administered at inappropriate site

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: BCPs (birth control pills)
Current Illness: None
Preexisting Conditions: MigRaines as 12/16/20
Allergies: Penicillin + Sulfa Sulfa
Diagnostic Lab Data: (-)
CDC 'Split Type':

Write-up: Swelling on arm. Placement lower than deltoid, 4 cm. treated with corticosteroids, antihistamines


Changed on 12/30/2020

VAERS ID: 902728 Before After
VAERS Form:2
Age:34.0
Sex:Female
Location:Texas
Vaccinated:2020-12-15
Onset:2020-12-16
Submitted:0000-00-00
Entered:2020-12-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH PAA156057 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Peripheral swelling, Product administered at inappropriate site

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: BCPs (birth control pills)
Current Illness: None
Preexisting Conditions: MigRaines as 12/16/20
Allergies: Penicillin + Sulfa Sulfa
Diagnostic Lab Data: (-)
CDC 'Split Type':

Write-up: Swelling on arm. Placement lower than deltoid, 4 cm. treated with corticosteroids, antihistamines


Changed on 5/7/2021

VAERS ID: 902728 Before After
VAERS Form:2
Age:34.0
Sex:Female
Location:Texas
Vaccinated:2020-12-15
Onset:2020-12-16
Submitted:0000-00-00
Entered:2020-12-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH PAA156057 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Peripheral swelling, Product administered at inappropriate site

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: BCPs (birth control pills)
Current Illness: None
Preexisting Conditions: MigRaines as 12/16/20
Allergies: Penicillin + Sulfa Sulfa
Diagnostic Lab Data: (-)
CDC 'Split Type':

Write-up: Swelling on arm. Placement lower than deltoid, 4 cm. treated with corticosteroids, antihistamines


Changed on 5/14/2021

VAERS ID: 902728 Before After
VAERS Form:2
Age:34.0
Sex:Female
Location:Texas
Vaccinated:2020-12-15
Onset:2020-12-16
Submitted:0000-00-00
Entered:2020-12-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH PAA156057 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Peripheral swelling, Product administered at inappropriate site

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: BCPs (birth control pills)
Current Illness: None
Preexisting Conditions: MigRaines as 12/16/20
Allergies: Penicillin + Sulfa Sulfa
Diagnostic Lab Data: (-)
CDC 'Split Type':

Write-up: Swelling on arm. Placement lower than deltoid, 4 cm. treated with corticosteroids, antihistamines

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