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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 902508 |
VAERS Form: | 2 |
Age: | 30.0 |
Sex: | Female |
Location: | New Jersey |
Vaccinated: | 2020-12-15 |
Onset: | 2020-12-15 |
Submitted: | 0000-00-00 |
Entered: | 2020-12-15 |
Vaccination / Manufacturer (1 vaccine) | Lot / Dose | Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH | EH9899 / 1 | LA / SYR |
Administered by: Other Purchased by: ??
Symptoms: Throat tightness, Paraesthesia oral
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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: unknown
Preexisting Conditions: unknown
Allergies: cucumbers
Diagnostic Lab Data: None
CDC 'Split Type':
Write-up: She claims she experienced tightness in the right side of throat and her tongue started tingling. Took her the Emergency Department, She decided to go and buy Benadryl
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