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From the 4/30/2021 release of VAERS data:

This is VAERS ID 903504



Case Details

VAERS ID: 903504 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Puerto Rico  
Vaccinated:2020-12-15
Onset:2020-12-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: Penicillin
Diagnostic Lab Data: Vital signs 149/69 HR: 77, R:20
CDC Split Type: PR-04-20

Write-up: The patient began to feel itchy throughout the body, particularly both arms and the back. This happened 30 minutes after injecting her with the COVID-19 vaccine


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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=903504


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