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This is VAERS ID 2397848

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History of Changes from the VAERS Wayback Machine

Color Schemes (Before/After):

First Appeared on 8/5/2022

VAERS ID: 2397848
VAERS Form: 2
Age: 12.0
Sex: Female
Location: Florida
Vaccinated: 2022-01-13
Onset: 2022-02-02
Submitted: 0000-00-00
Entered: 2022-08-01
Vaccin­ation / Manu­facturer (2 vaccines) Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK AR / SYR
FLUC4: INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT) / SEQIRUS, INC. - / UNK AR / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Angioedema, Laboratory test, Chronic spontaneous urticaria

Life Threatening? No
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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Flu Vaccine taken same day as Pfizer booster on 1/13/2022
Current Illness: Tardive Dyskinesia , Psychosis
Preexisting Conditions: ASD, ADHD, Schizoaffective Disorder, PTSD, DMDD, Developmental Delays, Chung Jansen Syndrome, MTHFR
Allergies: Gluten, Dairy, Lithium, Saphris
Diagnostic Lab Data: Rheumatologist ordered labs to confirm autoimmune urticaria and angioedema 4/14/2022
CDC 'Split Type':

Write-up: Chronic Autoimmune Urticaria daily since the begin of February, full body Angioedema sporadically since May, facial mostly eyes and lips

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