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This is VAERS ID 908347

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2020

VAERS ID: 908347
VAERS Form:2
Age:19.0
Sex:Female
Location:Ohio
Vaccinated:2020-12-22
Onset:2020-12-23
Submitted:0000-00-00
Entered:2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / IM

Administered by: Senior Living      Purchased by: ??
Symptoms: Lip swelling, Swelling of eyelid

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: Depo-Provera
Current Illness: N/A
Preexisting Conditions: none
Allergies: n/a
Diagnostic Lab Data: No testing performed
CDC 'Split Type':

Write-up: lip swelling, eye lid swelling began approximately 36 hours after vaccination. Patient presented to ED and was treated with benadryl, protonix and prednisone. Plan to discharge home with the same


Changed on 5/7/2021

VAERS ID: 908347 Before After
VAERS Form:2
Age:19.0
Sex:Female
Location:Ohio
Vaccinated:2020-12-22
Onset:2020-12-23
Submitted:0000-00-00
Entered:2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / IM

Administered by: Senior Living      Purchased by: ??
Symptoms: Lip swelling, Swelling of eyelid

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: Depo-Provera
Current Illness: N/A
Preexisting Conditions: none
Allergies: n/a n/a
Diagnostic Lab Data: No testing performed
CDC 'Split Type':

Write-up: lip swelling, eye lid swelling began approximately 36 hours after vaccination. Patient presented to ED and was treated with benadryl, protonix and prednisone. Plan to discharge home with the same


Changed on 5/14/2021

VAERS ID: 908347 Before After
VAERS Form:2
Age:19.0
Sex:Female
Location:Ohio
Vaccinated:2020-12-22
Onset:2020-12-23
Submitted:0000-00-00
Entered:2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / IM

Administered by: Senior Living      Purchased by: ??
Symptoms: Lip swelling, Swelling of eyelid

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: Depo-Provera
Current Illness: N/A
Preexisting Conditions: none
Allergies: n/a n/a
Diagnostic Lab Data: No testing performed
CDC 'Split Type':

Write-up: lip swelling, eye lid swelling began approximately 36 hours after vaccination. Patient presented to ED and was treated with benadryl, protonix and prednisone. Plan to discharge home with the same

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