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This is VAERS ID 902778

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History of Changes from the VAERS Wayback Machine

Color Schemes (Before/After):

First Appeared on 12/18/2020

VAERS ID: 902778
VAERS Form:2
Age:56.0
Sex:Female
Location:Texas
Vaccinated:2020-12-15
Onset:2020-12-15
Submitted:0000-00-00
Entered:2020-12-16
Vaccin­ation / Manu­facturer (1 vaccine) Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH789592671001 / 1 LA / IM

Administered by: Work      Purchased by: ??
Symptoms: Blood pressure increased, Headache, Injection site swelling, Immediate post-injection reaction, Injection site hypoaesthesia

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: metformin, glipizide, atorvastatin, ozempic, singulair, xopanex inhaler, xopenax nebulizer, epipen, flonase, pepcid AC, levothyroxine
Current Illness: radiation
Preexisting Conditions: Asthma, Diabetes, Capillary thyroid cancer (remission)
Allergies: shrimp, shellfish
Diagnostic Lab Data: No
CDC 'Split Type': vsafe

Write-up: Swelling and numbness at injection side. Increased blood pressure 199/99. Immediate headache. Workplace clinic called hospital ER, clinic administered Benadryl. Symptoms resolved.

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