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This is VAERS ID 903380

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/18/2020

VAERS ID: 903380
VAERS Form:2
Age:50.0
Sex:Female
Location:Texas
Vaccinated:2020-12-15
Onset:2020-12-18
Submitted:0000-00-00
Entered:2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH AK5730 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Ocular hyperaemia, Swelling, Urticaria

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: Vitamin C, mirtazapine, tamoxifen, olanzapine, levothyroxine, pantoprazole, lamotrigine, and Immune Response (OTC)
Current Illness: mild seasonal allergies
Preexisting Conditions: breast cancer survivor, hypothyroidism
Allergies: nka
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: hives all over body. with swelling.. Red eyes.


Changed on 12/24/2020

VAERS ID: 903380 Before After
VAERS Form:2
Age:50.0
Sex:Female
Location:Texas
Vaccinated:2020-12-15
Onset:2020-12-18
Submitted:0000-00-00
Entered:2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH AK5730 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Ocular hyperaemia, Swelling, Urticaria

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: Vitamin C, mirtazapine, tamoxifen, olanzapine, levothyroxine, pantoprazole, lamotrigine, and Immune Response (OTC)
Current Illness: mild seasonal allergies
Preexisting Conditions: breast cancer survivor, hypothyroidism
Allergies: nka nka
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: hives all over body. with swelling.. Red eyes.


Changed on 12/30/2020

VAERS ID: 903380 Before After
VAERS Form:2
Age:50.0
Sex:Female
Location:Texas
Vaccinated:2020-12-15
Onset:2020-12-18
Submitted:0000-00-00
Entered:2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH AK5730 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Ocular hyperaemia, Swelling, Urticaria

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: Vitamin C, mirtazapine, tamoxifen, olanzapine, levothyroxine, pantoprazole, lamotrigine, and Immune Response (OTC)
Current Illness: mild seasonal allergies
Preexisting Conditions: breast cancer survivor, hypothyroidism
Allergies: nka nka
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: hives all over body. with swelling.. Red eyes.


Changed on 5/7/2021

VAERS ID: 903380 Before After
VAERS Form:2
Age:50.0
Sex:Female
Location:Texas
Vaccinated:2020-12-15
Onset:2020-12-18
Submitted:0000-00-00
Entered:2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH AK5730 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Ocular hyperaemia, Swelling, Urticaria

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: Vitamin C, mirtazapine, tamoxifen, olanzapine, levothyroxine, pantoprazole, lamotrigine, and Immune Response (OTC)
Current Illness: mild seasonal allergies
Preexisting Conditions: breast cancer survivor, hypothyroidism
Allergies: nka nka
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: hives all over body. with swelling.. Red eyes.


Changed on 5/21/2021

VAERS ID: 903380 Before After
VAERS Form:2
Age:50.0
Sex:Female
Location:Texas
Vaccinated:2020-12-15
Onset:2020-12-18
Submitted:0000-00-00
Entered:2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH AK5730 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Ocular hyperaemia, Swelling, Urticaria

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: Vitamin C, mirtazapine, tamoxifen, olanzapine, levothyroxine, pantoprazole, lamotrigine, and Immune Response (OTC)
Current Illness: mild seasonal allergies
Preexisting Conditions: breast cancer survivor, hypothyroidism
Allergies: nka nka
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: hives all over body. with swelling.. Red eyes.

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