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This is VAERS ID 903145

History of Changes from the VAERS Wayback Machine

First Appeared on 4/1/2021

VAERS ID: 903145
VAERS Form:2
Age:34.0
Sex:Female
Location:West Virginia
Vaccinated:2020-12-15
Onset:2020-12-15
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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? 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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