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This is VAERS ID 912996

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History of Changes from the VAERS Wayback Machine

First Appeared on 1/29/2021

VAERS ID: 912996
VAERS Form:2
Age:49.0
Sex:Female
Location:Wisconsin
Vaccinated:2020-12-20
Onset:2020-12-20
Submitted:0000-00-00
Entered:2020-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Anaphylactic reaction, Cough, Dizziness, Wheezing, Pharyngeal paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations: Influenza - anaphylaxis
Other Medications: None - EpiPen and Albuterol for emergency
Current Illness: no
Preexisting Conditions: cialic disease
Allergies: anaphylactic to flu vaccine and to strong scents like perfumes and soaps. Eggs and shellfish allergy
Diagnostic Lab Data: No tests, via IV some steroids and histamine blocker and an albuterol nebulizer treatment and epinephrine
CDC 'Split Type': vsafe

Write-up: Wheezing, throat tingling and anaphylaxis, dizzy, mostly the breathing. I was coughing nonstop


Changed on 5/7/2021

VAERS ID: 912996 Before After
VAERS Form:2
Age:49.0
Sex:Female
Location:Wisconsin
Vaccinated:2020-12-20
Onset:2020-12-20
Submitted:0000-00-00
Entered:2020-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Anaphylactic reaction, Cough, Dizziness, Wheezing, Pharyngeal paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations: Influenza - anaphylaxis
Other Medications: None - EpiPen and Albuterol for emergency
Current Illness: no
Preexisting Conditions: cialic disease
Allergies: anaphylactic to flu vaccine and to strong scents like perfumes and soaps. Eggs and shellfish allergy allergy
Diagnostic Lab Data: No tests, via IV some steroids and histamine blocker and an albuterol nebulizer treatment and epinephrine
CDC 'Split Type': vsafe

Write-up: Wheezing, throat tingling and anaphylaxis, dizzy, mostly the breathing. I was coughing nonstop


Changed on 5/14/2021

VAERS ID: 912996 Before After
VAERS Form:2
Age:49.0
Sex:Female
Location:Wisconsin
Vaccinated:2020-12-20
Onset:2020-12-20
Submitted:0000-00-00
Entered:2020-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Anaphylactic reaction, Cough, Dizziness, Wheezing, Pharyngeal paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations: Influenza - anaphylaxis
Other Medications: None - EpiPen and Albuterol for emergency
Current Illness: no
Preexisting Conditions: cialic disease
Allergies: anaphylactic to flu vaccine and to strong scents like perfumes and soaps. Eggs and shellfish allergy allergy
Diagnostic Lab Data: No tests, via IV some steroids and histamine blocker and an albuterol nebulizer treatment and epinephrine
CDC 'Split Type': vsafe

Write-up: Wheezing, throat tingling and anaphylaxis, dizzy, mostly the breathing. I was coughing nonstop

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