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This is VAERS ID 903384

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/18/2020

VAERS ID: 903384
VAERS Form:2
Age:43.0
Sex:Female
Location:Missouri
Vaccinated:2020-12-17
Onset:2020-12-17
Submitted:0000-00-00
Entered:2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK 5730 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Flushing, Injection site erythema, Injection site warmth, Pruritus, Injection site swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Fluoxetine 60mg once daily NP thyroid 60mg once daily Vitamin D3 5000u once daily Loratadine 10mg once daily Allergy injections once weekly
Current Illness: None
Preexisting Conditions: Depression and anxiety Seasonal allergies Obesity
Allergies: Significant seasonal allergies only
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Swelling, redness, warmth at the injection site starting approx 15 min after injection was given. Then severe itching starting in right arm, right side of head approx 25 min after injection. Then itching progressed through the entire body including toes Claritin 10mg taken approx approx 2 hours prior to inj Allegra 1 tab Diclofenac 50mg Tylenol 1000mg Pepcid 1 tab Solumrdrol 40mg IM All given at approx 8:30am Itching continued. Inj site reaction started to improve. At approx 9:20am Benadryl 50mg taken at 10:00am Benadryl and Pepcid repeated at 6pm due to return of itching Facial flushing and temp of 100.1 orally noted at 6am the next morning


Changed on 12/24/2020

VAERS ID: 903384 Before After
VAERS Form:2
Age:43.0
Sex:Female
Location:Missouri
Vaccinated:2020-12-17
Onset:2020-12-17
Submitted:0000-00-00
Entered:2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK 5730 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Flushing, Injection site erythema, Injection site warmth, Pruritus, Injection site swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Fluoxetine 60mg once daily NP thyroid 60mg once daily Vitamin D3 5000u once daily Loratadine 10mg once daily Allergy injections once weekly
Current Illness: None
Preexisting Conditions: Depression and anxiety Seasonal allergies Obesity
Allergies: Significant seasonal allergies only only
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Swelling, redness, warmth at the injection site starting approx 15 min after injection was given. Then severe itching starting in right arm, right side of head approx 25 min after injection. Then itching progressed through the entire body including toes Claritin 10mg taken approx approx 2 hours prior to inj Allegra 1 tab Diclofenac 50mg Tylenol 1000mg Pepcid 1 tab Solumrdrol 40mg IM All given at approx 8:30am Itching continued. Inj site reaction started to improve. At approx 9:20am Benadryl 50mg taken at 10:00am Benadryl and Pepcid repeated at 6pm due to return of itching Facial flushing and temp of 100.1 orally noted at 6am the next morning


Changed on 12/30/2020

VAERS ID: 903384 Before After
VAERS Form:2
Age:43.0
Sex:Female
Location:Missouri
Vaccinated:2020-12-17
Onset:2020-12-17
Submitted:0000-00-00
Entered:2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK 5730 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Flushing, Injection site erythema, Injection site warmth, Pruritus, Injection site swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Fluoxetine 60mg once daily NP thyroid 60mg once daily Vitamin D3 5000u once daily Loratadine 10mg once daily Allergy injections once weekly
Current Illness: None
Preexisting Conditions: Depression and anxiety Seasonal allergies Obesity
Allergies: Significant seasonal allergies only only
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Swelling, redness, warmth at the injection site starting approx 15 min after injection was given. Then severe itching starting in right arm, right side of head approx 25 min after injection. Then itching progressed through the entire body including toes Claritin 10mg taken approx approx 2 hours prior to inj Allegra 1 tab Diclofenac 50mg Tylenol 1000mg Pepcid 1 tab Solumrdrol 40mg IM All given at approx 8:30am Itching continued. Inj site reaction started to improve. At approx 9:20am Benadryl 50mg taken at 10:00am Benadryl and Pepcid repeated at 6pm due to return of itching Facial flushing and temp of 100.1 orally noted at 6am the next morning


Changed on 5/7/2021

VAERS ID: 903384 Before After
VAERS Form:2
Age:43.0
Sex:Female
Location:Missouri
Vaccinated:2020-12-17
Onset:2020-12-17
Submitted:0000-00-00
Entered:2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK 5730 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Flushing, Injection site erythema, Injection site warmth, Pruritus, Injection site swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Fluoxetine 60mg once daily NP thyroid 60mg once daily Vitamin D3 5000u once daily Loratadine 10mg once daily Allergy injections once weekly
Current Illness: None
Preexisting Conditions: Depression and anxiety Seasonal allergies Obesity
Allergies: Significant seasonal allergies only only
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Swelling, redness, warmth at the injection site starting approx 15 min after injection was given. Then severe itching starting in right arm, right side of head approx 25 min after injection. Then itching progressed through the entire body including toes Claritin 10mg taken approx approx 2 hours prior to inj Allegra 1 tab Diclofenac 50mg Tylenol 1000mg Pepcid 1 tab Solumrdrol 40mg IM All given at approx 8:30am Itching continued. Inj site reaction started to improve. At approx 9:20am Benadryl 50mg taken at 10:00am Benadryl and Pepcid repeated at 6pm due to return of itching Facial flushing and temp of 100.1 orally noted at 6am the next morning


Changed on 5/21/2021

VAERS ID: 903384 Before After
VAERS Form:2
Age:43.0
Sex:Female
Location:Missouri
Vaccinated:2020-12-17
Onset:2020-12-17
Submitted:0000-00-00
Entered:2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK 5730 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Flushing, Injection site erythema, Injection site warmth, Pruritus, Injection site swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Fluoxetine 60mg once daily NP thyroid 60mg once daily Vitamin D3 5000u once daily Loratadine 10mg once daily Allergy injections once weekly
Current Illness: None
Preexisting Conditions: Depression and anxiety Seasonal allergies Obesity
Allergies: Significant seasonal allergies only only
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Swelling, redness, warmth at the injection site starting approx 15 min after injection was given. Then severe itching starting in right arm, right side of head approx 25 min after injection. Then itching progressed through the entire body including toes Claritin 10mg taken approx approx 2 hours prior to inj Allegra 1 tab Diclofenac 50mg Tylenol 1000mg Pepcid 1 tab Solumrdrol 40mg IM All given at approx 8:30am Itching continued. Inj site reaction started to improve. At approx 9:20am Benadryl 50mg taken at 10:00am Benadryl and Pepcid repeated at 6pm due to return of itching Facial flushing and temp of 100.1 orally noted at 6am the next morning


Changed on 6/4/2021

VAERS ID: 903384 Before After
VAERS Form:2
Age:43.0
Sex:Female
Location:Missouri
Vaccinated:2020-12-17
Onset:2020-12-17
Submitted:0000-00-00
Entered:2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK 5730 / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Flushing, Injection site erythema, Injection site warmth, Pruritus, Injection site swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Fluoxetine 60mg once daily NP thyroid 60mg once daily Vitamin D3 5000u once daily Loratadine 10mg once daily Allergy injections once weekly
Current Illness: None
Preexisting Conditions: Depression and anxiety Seasonal allergies Obesity
Allergies: Significant seasonal allergies only
Diagnostic Lab Data: None
CDC 'Split Type': (blank) vsafe

Write-up: Swelling, redness, warmth at the injection site starting approx 15 min after injection was given. Then severe itching starting in right arm, right side of head approx 25 min after injection. Then itching progressed through the entire body including toes Claritin 10mg taken approx approx 2 hours prior to inj Allegra 1 tab Diclofenac 50mg Tylenol 1000mg Pepcid 1 tab Solumrdrol 40mg IM All given at approx 8:30am Itching continued. Inj site reaction started to improve. At approx 9:20am Benadryl 50mg taken at 10:00am Benadryl and Pepcid repeated at 6pm due to return of itching Facial flushing and temp of 100.1 orally noted at 6am the next morning

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