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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 902894 |
VAERS Form: | 2 |
Age: | 24.0 |
Sex: | Female |
Location: | Ohio |
Vaccinated: | 2020-12-16 |
Onset: | 2020-12-17 |
Submitted: | 0000-00-00 |
Entered: | 2020-12-17 |
Vaccination / Manufacturer (1 vaccine) | Lot / Dose | Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH | - / 1 | LA / IM |
Administered by: Private Purchased by: ??
Symptoms: Hypersensitivity, Lacrimation increased, Swelling face, Throat irritation
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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Denied
Current Illness:
Preexisting Conditions:
Allergies: Prior reaction to "certain animals"
Diagnostic Lab Data: None
CDC 'Split Type':
Write-up: Allergic reaction with facial swelling, eye tearing, "itchy" throat
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