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This is VAERS ID 902894

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/18/2020

VAERS ID: 902894
VAERS Form:2
Age:24.0
Sex:Female
Location:Ohio
Vaccinated:2020-12-16
Onset:2020-12-17
Submitted:0000-00-00
Entered:2020-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Hypersensitivity, Lacrimation increased, Swelling face, Throat irritation

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Denied
Current Illness:
Preexisting Conditions:
Allergies: Prior reaction to "certain animals"
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Allergic reaction with facial swelling, eye tearing, "itchy" throat


Changed on 12/24/2020

VAERS ID: 902894 Before After
VAERS Form:2
Age:24.0
Sex:Female
Location:Ohio
Vaccinated:2020-12-16
Onset:2020-12-17
Submitted:0000-00-00
Entered:2020-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Hypersensitivity, Lacrimation increased, Swelling face, Throat irritation

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Denied
Current Illness:
Preexisting Conditions:
Allergies: Prior reaction to "certain animals" animals"
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Allergic reaction with facial swelling, eye tearing, "itchy" throat


Changed on 12/30/2020

VAERS ID: 902894 Before After
VAERS Form:2
Age:24.0
Sex:Female
Location:Ohio
Vaccinated:2020-12-16
Onset:2020-12-17
Submitted:0000-00-00
Entered:2020-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Hypersensitivity, Lacrimation increased, Swelling face, Throat irritation

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Denied
Current Illness:
Preexisting Conditions:
Allergies: Prior reaction to "certain animals" animals"
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Allergic reaction with facial swelling, eye tearing, "itchy" throat


Changed on 5/7/2021

VAERS ID: 902894 Before After
VAERS Form:2
Age:24.0
Sex:Female
Location:Ohio
Vaccinated:2020-12-16
Onset:2020-12-17
Submitted:0000-00-00
Entered:2020-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Hypersensitivity, Lacrimation increased, Swelling face, Throat irritation

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Denied
Current Illness:
Preexisting Conditions:
Allergies: Prior reaction to "certain animals" animals"
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Allergic reaction with facial swelling, eye tearing, "itchy" throat


Changed on 5/14/2021

VAERS ID: 902894 Before After
VAERS Form:2
Age:24.0
Sex:Female
Location:Ohio
Vaccinated:2020-12-16
Onset:2020-12-17
Submitted:0000-00-00
Entered:2020-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Hypersensitivity, Lacrimation increased, Swelling face, Throat irritation

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Denied
Current Illness:
Preexisting Conditions:
Allergies: Prior reaction to "certain animals" animals"
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Allergic reaction with facial swelling, eye tearing, "itchy" throat

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