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This is VAERS ID 909778

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History of Changes from the VAERS Wayback Machine

Color Schemes (Before/After):

First Appeared on 12/30/2020

VAERS ID: 909778
VAERS Form:2
Age:20.0
Sex:Female
Location:Virginia
Vaccinated:2020-12-26
Onset:2020-12-26
Submitted:0000-00-00
Entered:2020-12-27
Vaccin­ation / Manu­facturer (1 vaccine) Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Work      Purchased by: ??
Symptoms: Dysphagia, Electroencephalogram, Pruritus, Swollen tongue, Urticaria, Psychogenic seizure, Tongue pruritus

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? Yes, days: 2
    Extended hospital stay? No
Previous Vaccinations:
Other Medications: Depovera
Current Illness:
Preexisting Conditions: Asthma
Allergies: Morphine, penicillin, Shellfish, iodine, honey, pollen, dust
Diagnostic Lab Data: EEG
CDC 'Split Type':

Write-up: 8:27 Hives, itching all over chest and on tongue, tongue swelling, slight difficulty swallowing. 8:30 epi administered/ benedrly 8:32 pseudo seizures begin off and on till the 27th

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