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This is VAERS ID 908943

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History of Changes from the VAERS Wayback Machine

First Appeared on 1/7/2021

VAERS ID: 908943
VAERS Form:2
Age:28.0
Sex:Female
Location:Oregon
Vaccinated:2020-12-20
Onset:2020-12-20
Submitted:0000-00-00
Entered:2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 RA / IM

Administered by: Work      Purchased by: ??
Symptoms: Anaphylactic reaction, Blood pressure increased, Dysphonia, Lip swelling, Livedo reticularis, Nausea, Pruritus, Stridor, Tonsillar hypertrophy, Hypoaesthesia oral, Paraesthesia oral, Enlarged uvula, Lip erythema

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: Birth control
Current Illness: No
Preexisting Conditions: Underlying asthma
Allergies: Pollen, mold, pet dander
Diagnostic Lab Data: No
CDC 'Split Type': vsafe

Write-up: Received vaccine before shift. Within 10-15 mins bilateral back of the tongue numbness and tingling. Walked to ER (my department) and asked charge nurse for Zyrtec. Advised to stay and be monitored, opted not to be checked in to ER. BP 146/105, 126-120 BP, abnormally high. Experienced red lips, itchy hands and feet, ''frog in throat'' feeling. Convinced to check into ER. Swollen uvula, tonsils, lips red/swollen, stridorous breathing. Checked in to ER, given IV Benadryl, fluid, prednisone, and Pepcid. Hands and feet were mottled. Confirmed anaphylactic reaction. Became nauseous, given Zofran. Given Epi in left shoulder. Stayed for 4 hours for continued monitoring. Symptoms started to subside. Also given inhaled albuterol. Discharged w/ Benadryl, Pepcid, prednisone 5 days course, and prescription for Epi.


Changed on 5/7/2021

VAERS ID: 908943 Before After
VAERS Form:2
Age:28.0
Sex:Female
Location:Oregon
Vaccinated:2020-12-20
Onset:2020-12-20
Submitted:0000-00-00
Entered:2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 RA / IM

Administered by: Work      Purchased by: ??
Symptoms: Anaphylactic reaction, Blood pressure increased, Dysphonia, Lip swelling, Livedo reticularis, Nausea, Pruritus, Stridor, Tonsillar hypertrophy, Hypoaesthesia oral, Paraesthesia oral, Enlarged uvula, Lip erythema

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: Birth control
Current Illness: No
Preexisting Conditions: Underlying asthma
Allergies: Pollen, mold, pet dander dander
Diagnostic Lab Data: No
CDC 'Split Type': vsafe

Write-up: Received vaccine before shift. Within 10-15 mins bilateral back of the tongue numbness and tingling. Walked to ER (my department) and asked charge nurse for Zyrtec. Advised to stay and be monitored, opted not to be checked in to ER. BP 146/105, 126-120 BP, abnormally high. Experienced red lips, itchy hands and feet, ''frog in throat'' feeling. Convinced to check into ER. Swollen uvula, tonsils, lips red/swollen, stridorous breathing. Checked in to ER, given IV Benadryl, fluid, prednisone, and Pepcid. Hands and feet were mottled. Confirmed anaphylactic reaction. Became nauseous, given Zofran. Given Epi in left shoulder. Stayed for 4 hours for continued monitoring. Symptoms started to subside. Also given inhaled albuterol. Discharged w/ Benadryl, Pepcid, prednisone 5 days course, and prescription for Epi.


Changed on 5/14/2021

VAERS ID: 908943 Before After
VAERS Form:2
Age:28.0
Sex:Female
Location:Oregon
Vaccinated:2020-12-20
Onset:2020-12-20
Submitted:0000-00-00
Entered:2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 RA / IM

Administered by: Work      Purchased by: ??
Symptoms: Anaphylactic reaction, Blood pressure increased, Dysphonia, Lip swelling, Livedo reticularis, Nausea, Pruritus, Stridor, Tonsillar hypertrophy, Hypoaesthesia oral, Paraesthesia oral, Enlarged uvula, Lip erythema

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: Birth control
Current Illness: No
Preexisting Conditions: Underlying asthma
Allergies: Pollen, mold, pet dander dander
Diagnostic Lab Data: No
CDC 'Split Type': vsafe

Write-up: Received vaccine before shift. Within 10-15 mins bilateral back of the tongue numbness and tingling. Walked to ER (my department) and asked charge nurse for Zyrtec. Advised to stay and be monitored, opted not to be checked in to ER. BP 146/105, 126-120 BP, abnormally high. Experienced red lips, itchy hands and feet, ''frog in throat'' feeling. Convinced to check into ER. Swollen uvula, tonsils, lips red/swollen, stridorous breathing. Checked in to ER, given IV Benadryl, fluid, prednisone, and Pepcid. Hands and feet were mottled. Confirmed anaphylactic reaction. Became nauseous, given Zofran. Given Epi in left shoulder. Stayed for 4 hours for continued monitoring. Symptoms started to subside. Also given inhaled albuterol. Discharged w/ Benadryl, Pepcid, prednisone 5 days course, and prescription for Epi.


Changed on 7/16/2021

VAERS ID: 908943 Before After
VAERS Form:2
Age:28.0
Sex:Female
Location:Oregon
Vaccinated:2020-12-20
Onset:2020-12-20
Submitted:0000-00-00
Entered:2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 RA / IM

Administered by: Work      Purchased by: ??
Symptoms: Anaphylactic reaction, Blood pressure increased, Dysphonia, Lip swelling, Livedo reticularis, Nausea, Pruritus, Stridor, Tonsillar hypertrophy, Hypoaesthesia oral, Paraesthesia oral, Enlarged uvula, Lip erythema

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: Birth control
Current Illness: No
Preexisting Conditions: Underlying asthma Asthma
Allergies: Pollen, mold, pet dander Mold, Pet Dander
Diagnostic Lab Data: No
CDC 'Split Type': vsafe

Write-up: Received vaccine before shift. Within 10-15 mins bilateral back of the tongue numbness and tingling. Walked to ER (my department) and asked charge nurse for Zyrtec. Advised to stay and be monitored, opted not to be checked in to ER. BP 146/105, 126-120 BP, abnormally high. Experienced red lips, itchy hands and feet, ''frog in throat'' feeling. Convinced to check into ER. Swollen uvula, tonsils, lips red/swollen, stridorous breathing. Checked in to ER, given IV Benadryl, fluid, prednisone, and Pepcid. Hands and feet were mottled. Confirmed anaphylactic reaction. Became nauseous, given Zofran. Given Epi in left shoulder. Stayed for 4 hours for continued monitoring. Symptoms started to subside. Also given inhaled albuterol. Discharged w/ Benadryl, Pepcid, prednisone 5 days course, and prescription for Epi.

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