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From the 1/14/2022 release of VAERS data:

This is VAERS ID 918413

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Case Details

VAERS ID: 918413 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Female  
Location: Iowa  
Vaccinated:2020-12-30
Onset:2020-12-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL1284 / 1 LA / IM

Administered by: Senior Living       Purchased by: ?
Symptoms: SARS-CoV-2 test positive, Swelling face, Swelling of eyelid
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Periorbital and eyelid disorders (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: FACIAL SWELLING. EYES SWELLED SHUT. TOOK DIPHENHYDRAMINE ORALLY AT 09:30PM ON 12/30/20. WENT TO SLEEP SHORTLY AFTER TAKING DIPHENHYDRAMINE AND FACIAL SWELLING WAS RESOLVED UPON AWAKENING THE FOLLOWING DAY. RESIDENT STATES SHE TESTED POSITIVE FOR COVID-19 ON 11/10/20


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