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This is VAERS ID 906982

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2020

VAERS ID: 906982
VAERS Form:2
Age:54.0
Sex:Female
Location:Georgia
Vaccinated:2020-12-22
Onset:2020-12-22
Submitted:0000-00-00
Entered:2020-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL0140 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Anaphylactic reaction, Pruritus, Throat tightness

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: unknown
Current Illness: Unknown
Preexisting Conditions: Unknown
Allergies: iodine, sulfa, hydrocodone/APAP
Diagnostic Lab Data: Sent to ER
CDC 'Split Type':

Write-up: anaphylactic--started with mild itching, progressed to throat tightness--patient was given IV Benadryl, Pepcid, Solu-Cortef, Epi-pen x 2, oxygen


Changed on 5/7/2021

VAERS ID: 906982 Before After
VAERS Form:2
Age:54.0
Sex:Female
Location:Georgia
Vaccinated:2020-12-22
Onset:2020-12-22
Submitted:0000-00-00
Entered:2020-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL0140 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Anaphylactic reaction, Pruritus, Throat tightness

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: unknown
Current Illness: Unknown
Preexisting Conditions: Unknown
Allergies: iodine, sulfa, hydrocodone/APAP hydrocodone/APAP
Diagnostic Lab Data: Sent to ER
CDC 'Split Type':

Write-up: anaphylactic--started with mild itching, progressed to throat tightness--patient was given IV Benadryl, Pepcid, Solu-Cortef, Epi-pen x 2, oxygen


Changed on 5/14/2021

VAERS ID: 906982 Before After
VAERS Form:2
Age:54.0
Sex:Female
Location:Georgia
Vaccinated:2020-12-22
Onset:2020-12-22
Submitted:0000-00-00
Entered:2020-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL0140 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Anaphylactic reaction, Pruritus, Throat tightness

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: unknown
Current Illness: Unknown
Preexisting Conditions: Unknown
Allergies: iodine, sulfa, hydrocodone/APAP hydrocodone/APAP
Diagnostic Lab Data: Sent to ER
CDC 'Split Type':

Write-up: anaphylactic--started with mild itching, progressed to throat tightness--patient was given IV Benadryl, Pepcid, Solu-Cortef, Epi-pen x 2, oxygen

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