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This is VAERS ID 903409

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/24/2020

VAERS ID: 903409
VAERS Form:2
Age:46.0
Sex:Female
Location:Alabama
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 EH9899 / 1 LL / IM

Administered by: Private      Purchased by: ??
Symptoms: Asthma, Dysphonia, Hypersensitivity, Tongue disorder, Paraesthesia oral

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Metropolol XL 25mg qday Synthroid 100mcg qday Leflunamide 20mg qday Lexapro 10mg qday Estradiol 2 mg qday Spironolactane 50mg qday Minocylcine 100mg qday Omeprazole 40mg qday Zyrtec 10mg qday Melantonin 5mg qday
Current Illness: None
Preexisting Conditions: PSORIATIC ARTHRITIS Thyroid GERD Cardiac arrtymias migraine
Allergies: Latex - hives and blisters Erythromyocin causes a rash. Can take other Myocin drugs
Diagnostic Lab Data: No labs or tests performed
CDC 'Split Type':

Write-up: Initial symptoms started in less than 5 minutes were tingling in the lips and tongue. Thickness feeling to the tongue. Progressed to hoarseness to voice that worsened. Received 50mg Benadryl chewable tablets. Symptoms continued to worsen. Epi pen injection in left thigh. 5 minutes later still no improvement and another Epi pen injection in right thigh. Monitored for 5 to 10 min and no improvement and was taken to the ER. In the ED, received IV fluids, IV Benadryl, IV Decadron and IV Pepcid. Monitored for 3 1/2 to 4 hour and discharged home with 3 days of Prednisone 60 mg and Benadryl po every 6 hours as long as allergic like symptoms persisted. 12/18 morning still with lip tingling and Asthma like symptoms. Voice is still in and out of hoarseness


Changed on 12/30/2020

VAERS ID: 903409 Before After
VAERS Form:2
Age:46.0
Sex:Female
Location:Alabama
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 EH9899 / 1 LL / IM

Administered by: Private      Purchased by: ??
Symptoms: Asthma, Dysphonia, Hypersensitivity, Tongue disorder, Paraesthesia oral

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Metropolol XL 25mg qday Synthroid 100mcg qday Leflunamide 20mg qday Lexapro 10mg qday Estradiol 2 mg qday Spironolactane 50mg qday Minocylcine 100mg qday Omeprazole 40mg qday Zyrtec 10mg qday Melantonin 5mg qday
Current Illness: None
Preexisting Conditions: PSORIATIC ARTHRITIS Thyroid GERD Cardiac arrtymias migraine
Allergies: Latex - hives and blisters Erythromyocin causes a rash. Can take other Myocin drugs drugs
Diagnostic Lab Data: No labs or tests performed
CDC 'Split Type':

Write-up: Initial symptoms started in less than 5 minutes were tingling in the lips and tongue. Thickness feeling to the tongue. Progressed to hoarseness to voice that worsened. Received 50mg Benadryl chewable tablets. Symptoms continued to worsen. Epi pen injection in left thigh. 5 minutes later still no improvement and another Epi pen injection in right thigh. Monitored for 5 to 10 min and no improvement and was taken to the ER. In the ED, received IV fluids, IV Benadryl, IV Decadron and IV Pepcid. Monitored for 3 1/2 to 4 hour and discharged home with 3 days of Prednisone 60 mg and Benadryl po every 6 hours as long as allergic like symptoms persisted. 12/18 morning still with lip tingling and Asthma like symptoms. Voice is still in and out of hoarseness


Changed on 5/7/2021

VAERS ID: 903409 Before After
VAERS Form:2
Age:46.0
Sex:Female
Location:Alabama
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 EH9899 / 1 LL / IM

Administered by: Private      Purchased by: ??
Symptoms: Asthma, Dysphonia, Hypersensitivity, Tongue disorder, Paraesthesia oral

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Metropolol XL 25mg qday Synthroid 100mcg qday Leflunamide 20mg qday Lexapro 10mg qday Estradiol 2 mg qday Spironolactane 50mg qday Minocylcine 100mg qday Omeprazole 40mg qday Zyrtec 10mg qday Melantonin 5mg qday
Current Illness: None
Preexisting Conditions: PSORIATIC ARTHRITIS Thyroid GERD Cardiac arrtymias migraine
Allergies: Latex - hives and blisters Erythromyocin causes a rash. Can take other Myocin drugs drugs
Diagnostic Lab Data: No labs or tests performed
CDC 'Split Type':

Write-up: Initial symptoms started in less than 5 minutes were tingling in the lips and tongue. Thickness feeling to the tongue. Progressed to hoarseness to voice that worsened. Received 50mg Benadryl chewable tablets. Symptoms continued to worsen. Epi pen injection in left thigh. 5 minutes later still no improvement and another Epi pen injection in right thigh. Monitored for 5 to 10 min and no improvement and was taken to the ER. In the ED, received IV fluids, IV Benadryl, IV Decadron and IV Pepcid. Monitored for 3 1/2 to 4 hour and discharged home with 3 days of Prednisone 60 mg and Benadryl po every 6 hours as long as allergic like symptoms persisted. 12/18 morning still with lip tingling and Asthma like symptoms. Voice is still in and out of hoarseness


Changed on 5/21/2021

VAERS ID: 903409 Before After
VAERS Form:2
Age:46.0
Sex:Female
Location:Alabama
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 EH9899 / 1 LL / IM

Administered by: Private      Purchased by: ??
Symptoms: Asthma, Dysphonia, Hypersensitivity, Tongue disorder, Paraesthesia oral

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Metropolol XL 25mg qday Synthroid 100mcg qday Leflunamide 20mg qday Lexapro 10mg qday Estradiol 2 mg qday Spironolactane 50mg qday Minocylcine 100mg qday Omeprazole 40mg qday Zyrtec 10mg qday Melantonin 5mg qday
Current Illness: None
Preexisting Conditions: PSORIATIC ARTHRITIS Thyroid GERD Cardiac arrtymias migraine
Allergies: Latex - hives and blisters Erythromyocin causes a rash. Can take other Myocin drugs drugs
Diagnostic Lab Data: No labs or tests performed
CDC 'Split Type':

Write-up: Initial symptoms started in less than 5 minutes were tingling in the lips and tongue. Thickness feeling to the tongue. Progressed to hoarseness to voice that worsened. Received 50mg Benadryl chewable tablets. Symptoms continued to worsen. Epi pen injection in left thigh. 5 minutes later still no improvement and another Epi pen injection in right thigh. Monitored for 5 to 10 min and no improvement and was taken to the ER. In the ED, received IV fluids, IV Benadryl, IV Decadron and IV Pepcid. Monitored for 3 1/2 to 4 hour and discharged home with 3 days of Prednisone 60 mg and Benadryl po every 6 hours as long as allergic like symptoms persisted. 12/18 morning still with lip tingling and Asthma like symptoms. Voice is still in and out of hoarseness

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