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From the 9/10/2021 release of VAERS data:

This is VAERS ID 886472



Case Details

VAERS ID: 886472 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: California  
Vaccinated:2020-09-26
Onset:2020-09-27
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2020-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLUC4: INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT) / SEQIRUS, INC. 276535 / UNK LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Facial discomfort, Fatigue, Influenza like illness, Periorbital swelling, Pruritus, Swelling face
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Periorbital and eyelid disorders (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Hydrochlorothiazide high blood pressure Juvel 1/20 birth control
Current Illness: none
Preexisting Conditions: high blood pressure
Allergies: tomatoes gluten sensitivity
Diagnostic Lab Data:
CDC Split Type:

Write-up: Sunday I just felt tired and slightly flu-ish which is common but my face did feel sunburned. On Monday, my face was more itchy and I took Benadryl. On Tues morning, I woke up and my face was swollen, especially around my eyes and the itching was worse.


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