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This is VAERS ID 910338

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History of Changes from the VAERS Wayback Machine

First Appeared on 1/7/2021

VAERS ID: 910338
VAERS Form:2
Age:23.0
Sex:Female
Location:New Hampshire
Vaccinated:2020-12-18
Onset:2020-12-19
Submitted:0000-00-00
Entered:2020-12-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Anaphylactic reaction, Migraine, Pain in extremity

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Mesalamine 4.8 G daily dICYCLOMINE 1MG 2 time daily Doxazosin 1mg daily Hydroxyzine 25 mg 1 daily Lithium 900 mg extended release Latuda 20 mg 1 daily Lamictal 200 mg daily
Current Illness: None
Preexisting Conditions: Bipolar ulcerative colitis
Allergies: Ubrelvy 50 mg
Diagnostic Lab Data: I am going to have a sensitivity test on 01/04/2020 To rule out either the COVID vaccine reaction or Allergic reaction
CDC 'Split Type': vsafe

Write-up: Arm pain and Migraine .. Took Migraine medication and that''s when I had a anaphylaxis reaction . I have an appointment to see a specialist to verify if the reaction was caused by the COVID vaccine or the medication I took that day


Changed on 5/7/2021

VAERS ID: 910338 Before After
VAERS Form:2
Age:23.0
Sex:Female
Location:New Hampshire
Vaccinated:2020-12-18
Onset:2020-12-19
Submitted:0000-00-00
Entered:2020-12-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Anaphylactic reaction, Migraine, Pain in extremity

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Mesalamine 4.8 G daily dICYCLOMINE 1MG 2 time daily Doxazosin 1mg daily Hydroxyzine 25 mg 1 daily Lithium 900 mg extended release Latuda 20 mg 1 daily Lamictal 200 mg daily
Current Illness: None
Preexisting Conditions: Bipolar ulcerative colitis
Allergies: Ubrelvy 50 mg mg
Diagnostic Lab Data: I am going to have a sensitivity test on 01/04/2020 To rule out either the COVID vaccine reaction or Allergic reaction
CDC 'Split Type': vsafe

Write-up: Arm pain and Migraine .. Took Migraine medication and that''s when I had a anaphylaxis reaction . I have an appointment to see a specialist to verify if the reaction was caused by the COVID vaccine or the medication I took that day


Changed on 5/14/2021

VAERS ID: 910338 Before After
VAERS Form:2
Age:23.0
Sex:Female
Location:New Hampshire
Vaccinated:2020-12-18
Onset:2020-12-19
Submitted:0000-00-00
Entered:2020-12-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Anaphylactic reaction, Migraine, Pain in extremity

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Mesalamine 4.8 G daily dICYCLOMINE 1MG 2 time daily Doxazosin 1mg daily Hydroxyzine 25 mg 1 daily Lithium 900 mg extended release Latuda 20 mg 1 daily Lamictal 200 mg daily
Current Illness: None
Preexisting Conditions: Bipolar ulcerative colitis
Allergies: Ubrelvy 50 mg mg
Diagnostic Lab Data: I am going to have a sensitivity test on 01/04/2020 To rule out either the COVID vaccine reaction or Allergic reaction
CDC 'Split Type': vsafe

Write-up: Arm pain and Migraine .. Took Migraine medication and that''s when I had a anaphylaxis reaction . I have an appointment to see a specialist to verify if the reaction was caused by the COVID vaccine or the medication I took that day

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=910338&WAYBACKHISTORY=ON


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