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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 902946 |
VAERS Form: | 2 |
Age: | 26.0 |
Sex: | Male |
Location: | West Virginia |
Vaccinated: | 2020-12-17 |
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 | EH9899 / 1 | RA / IM |
Administered by: Public Purchased by: ??
Symptoms: Angioedema, Peripheral swelling
Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: No
Current Illness: None
Preexisting Conditions: None
Allergies: Sulfa (oral)
Diagnostic Lab Data: na
CDC 'Split Type':
Write-up: Swelling of hands follwed by angioedema
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