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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 902518 |
VAERS Form: | 2 |
Age: | 58.0 |
Sex: | Female |
Location: | Indiana |
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 | EJ1685 / 1 | AR / IM |
Administered by: Private Purchased by: ??
Symptoms: Feeling hot, Paraesthesia, Eye pruritus, 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:
Current Illness:
Preexisting Conditions:
Allergies: Latex, Norflex, shellfish, pomegranate, almond, bees
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Tingling of upper lip and cheeks, warmth in face, and itchy eyes Treatment: diphenhydramine 50 mg PO x1 Outcome: symptom onset within 15 minutes of vaccine administration. Symptoms resolved within 20-30 minutes of diphenhydramine administration.
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