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In other words, Adobe Reader won't let you add text. What you need is a program that's a little more accommodating, PDF-wise. Try Foxit Reader 4.3, which allows you to add text to any PDF.
To see alt text in a completed PDF document, you'll need to use a screen reading app, which is an accessibility tool for visually impaired users.
That said, free users can make certain changes to PDF files without a paid plan. As a free user, you can add comments, highlight sections, draw on a document, add new text, and sign documents.
Microsoft Edge provides a feature to highlight text in PDF and save highlighted PDF to your PC. This post shows you how to to highlight and save PDF using Edge.
Adding Text Notes to a PDF Select the Text Box tool from the Drawing Markups panel. Click, or click and drag, on your document to add a box with a colored border, and type your observations in it.
If you're wanting to convert an image into text, Google Docs has a powerful Optical Character Recognition feature built right in. Here's how to make it work.
Removing text from a PDF isn't as easy as drawing a black bar across it. Fortunately, redaction tools let you truly erase sensitive text in Preview, Adobe Acrobat DC Pro, and PDFPen.
If you want to extract highlighted text from PDF file as a plain text file, then this post covers some good free PDF Highlight Extractor software to do that.