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From the 1/7/2022 release of VAERS data:

This is VAERS ID 903085

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Case Details

VAERS ID: 903085 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: Missouri  
Vaccinated:2020-12-17
Onset:2020-12-17
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 RA / IM

Administered by: Work       Purchased by: ?
Symptoms: Ear pruritus, Eye swelling, Feeling hot, Ocular discomfort, Paraesthesia
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: Codeine, Ciprofloxacin, Flagyl
Diagnostic Lab Data:
CDC Split Type:

Write-up: 1145: Patient complained of minor left eye swelling. Vital signs 99%, 83, 141/80. 1155: Vitals rechecked 1155 100%, 79, 112/80. Patient has new complaints of itchy ears, facial "heat", and slight tingling in fingers. 1200: 25 mg of oral Benadryl given. 1211: per RN, patient states symptoms are resolving. 1230: Patient still feels slight eye discomfort, all other symptoms have resolved. Patient states she feels comfortable leaving vaccination clinic, her son will be taking her home.


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