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From the 12/30/2020 release of VAERS data (an older release, current is 1/7/2022):

This is VAERS ID 902777

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Case Details

VAERS ID: 902777 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Indiana  
Vaccinated:2020-12-16
Onset:2020-12-16
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Work       Purchased by: ?
Symptoms: Erythema, Pruritus
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad), 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: Viibryd, synthroid, Zyrtec, fish oil
Current Illness: none known
Preexisting Conditions:
Allergies: sulfa
Diagnostic Lab Data:
CDC Split Type: VSafe

Write-up: redness, itching to face, armpit, and neck


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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20201230&IDNUMBER=902777


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