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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 903592 |
VAERS Form: | 2 |
Age: | 34.0 |
Sex: | Female |
Location: | Ohio |
Vaccinated: | 2020-12-17 |
Onset: | 2020-12-17 |
Submitted: | 0000-00-00 |
Entered: | 2020-12-18 |
Vaccination / Manufacturer (1 vaccine) | Lot / Dose | Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH | EK5730 3/2021 / 1 | LA / IM |
Administered by: Private Purchased by: ??
Symptoms: Anaphylactic reaction, Cough, Discomfort, Dizziness, Dysphagia, Dysphonia, Dyspnoea, Hypoaesthesia, Paraesthesia, Tachycardia, Tachypnoea, Throat tightness, Hypoaesthesia oral, Sensation of foreign body, Tongue discomfort
Life Threatening? Yes
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? Yes, days: 1
Extended hospital stay? No
Previous Vaccinations: Flu vaccine
Other Medications: Levoxyl
Current Illness: None noted
Preexisting Conditions: Graves, Hashimoto?s
Allergies: Levaquin, methimazole, flu vaccine with preservatives
Diagnostic Lab Data: Ask physicians
CDC 'Split Type':
Write-up: Not all or limited to: anaphylactic reaction: Feeling lump in throat, tongue feeling funny with numbness, feeling of hard to swallow, throat tightness, shortness of breath, tachycardia, tachypnea, pressure, tingling, and numbness from head to toe, dizziness/lightheartedness, cough, voice changes.
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