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From the 4/23/2021 release of VAERS data:

This is VAERS ID 903145



Case Details

VAERS ID: 903145 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: West Virginia  
Vaccinated:2020-12-15
Onset:2020-12-15
   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 EH9899 / 1 LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Pruritus, Rash, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), 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: Insulin R, Lantus
Current Illness: None
Preexisting Conditions: Type I Diabetes
Allergies: Clindamycin, compazine
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Developed a couple of hives, rash, and itching 40 minutes after vaccination. Relieved with one dose of oral benadryl. Employee reports symptoms have mostly resolved as of 12/16/20 with some intermittent itching that is relieved with benadryl oral.


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