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This is VAERS ID 904553

History of Changes from the VAERS Wayback Machine

First Appeared on 12/24/2020

VAERS ID: 904553
VAERS Form:2
Age:31.0
Sex:Female
Location:Georgia
Vaccinated:2020-12-20
Onset:2020-12-20
Submitted:0000-00-00
Entered:2020-12-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1685 / UNK LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Dyspnoea, Heart rate increased, Lip swelling, Paraesthesia

Life Threatening? Yes
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: Albuterol, Symbicort, Spiriva
Current Illness: Pink eye
Preexisting Conditions: Asthma
Allergies: Soy
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Within a few minutes of taking the vaccine, my lower lip began swelling. I was moved to the emergency department of Hospital and monitored and treated for four hours. Then I was released. At around 1:30 p.m. I felt my skin singling and started having difficulty breathing. Since I was no longer at my work (Hospital) I went to the closest hospital. This reaction was much worse. My husband drove. My heart rate increased. I was released at around 6:30 pm


Changed on 12/30/2020

VAERS ID: 904553 Before After
VAERS Form:2
Age:31.0
Sex:Female
Location:Georgia
Vaccinated:2020-12-20
Onset:2020-12-20
Submitted:0000-00-00
Entered:2020-12-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1685 / UNK LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Dyspnoea, Heart rate increased, Lip swelling, Paraesthesia

Life Threatening? Yes
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: Albuterol, Symbicort, Spiriva
Current Illness: Pink eye
Preexisting Conditions: Asthma
Allergies: Soy Soy
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Within a few minutes of taking the vaccine, my lower lip began swelling. I was moved to the emergency department of Hospital and monitored and treated for four hours. Then I was released. At around 1:30 p.m. I felt my skin singling and started having difficulty breathing. Since I was no longer at my work (Hospital) I went to the closest hospital. This reaction was much worse. My husband drove. My heart rate increased. I was released at around 6:30 pm


Changed on 5/7/2021

VAERS ID: 904553 Before After
VAERS Form:2
Age:31.0
Sex:Female
Location:Georgia
Vaccinated:2020-12-20
Onset:2020-12-20
Submitted:0000-00-00
Entered:2020-12-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1685 / UNK LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Dyspnoea, Heart rate increased, Lip swelling, Paraesthesia

Life Threatening? Yes
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: Albuterol, Symbicort, Spiriva
Current Illness: Pink eye
Preexisting Conditions: Asthma
Allergies: Soy Soy
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Within a few minutes of taking the vaccine, my lower lip began swelling. I was moved to the emergency department of Hospital and monitored and treated for four hours. Then I was released. At around 1:30 p.m. I felt my skin singling and started having difficulty breathing. Since I was no longer at my work (Hospital) I went to the closest hospital. This reaction was much worse. My husband drove. My heart rate increased. I was released at around 6:30 pm


Changed on 5/14/2021

VAERS ID: 904553 Before After
VAERS Form:2
Age:31.0
Sex:Female
Location:Georgia
Vaccinated:2020-12-20
Onset:2020-12-20
Submitted:0000-00-00
Entered:2020-12-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1685 / UNK LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Dyspnoea, Heart rate increased, Lip swelling, Paraesthesia

Life Threatening? Yes
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: Albuterol, Symbicort, Spiriva
Current Illness: Pink eye
Preexisting Conditions: Asthma
Allergies: Soy Soy
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Within a few minutes of taking the vaccine, my lower lip began swelling. I was moved to the emergency department of Hospital and monitored and treated for four hours. Then I was released. At around 1:30 p.m. I felt my skin singling and started having difficulty breathing. Since I was no longer at my work (Hospital) I went to the closest hospital. This reaction was much worse. My husband drove. My heart rate increased. I was released at around 6:30 pm

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