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This is VAERS ID 931632

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History of Changes from the VAERS Wayback Machine

First Appeared on 3/19/2021

VAERS ID: 931632
VAERS Form:2
Age:18.0
Sex:Female
Location:New Hampshire
Vaccinated:2021-01-06
Onset:2021-01-06
Submitted:0000-00-00
Entered:2021-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL1284 / 1 LA / SYR

Administered by: Senior Living      Purchased by: ??
Symptoms: Dyspnoea, Nausea, Rash, Swelling, Urticaria

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Oral Contraceptive
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: Skin rash around neck, hives Shortness of breath Swelling Nausea


Changed on 5/7/2021

VAERS ID: 931632 Before After
VAERS Form:2
Age:18.0
Sex:Female
Location:New Hampshire
Vaccinated:2021-01-06
Onset:2021-01-06
Submitted:0000-00-00
Entered:2021-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL1284 / 1 LA / SYR

Administered by: Senior Living      Purchased by: ??
Symptoms: Dyspnoea, Nausea, Rash, Swelling, Urticaria

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Oral Contraceptive
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A N/A
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: Skin rash around neck, hives Shortness of breath Swelling Nausea


Changed on 5/21/2021

VAERS ID: 931632 Before After
VAERS Form:2
Age:18.0
Sex:Female
Location:New Hampshire
Vaccinated:2021-01-06
Onset:2021-01-06
Submitted:0000-00-00
Entered:2021-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL1284 / 1 LA / SYR

Administered by: Senior Living      Purchased by: ??
Symptoms: Dyspnoea, Nausea, Rash, Swelling, Urticaria

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Oral Contraceptive
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A N/A
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: Skin rash around neck, hives Shortness of breath Swelling Nausea

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