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

This is VAERS ID 903507



Case Details

VAERS ID: 903507 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: South Carolina  
Vaccinated:2020-12-18
Onset:2020-12-18
   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 EK5730 / UNK - / IM

Administered by: Private       Purchased by: ?
Symptoms: Feeling hot, 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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Loratadine, Tums, Ozempic, Fluconazole, Atorvastatin, Lisinopril, Invokana
Current Illness:
Preexisting Conditions:
Allergies: Contrast, latex, soap, povidone-iodine, adhesive tape, shellfish
Diagnostic Lab Data: Evaluated in ER, vital signs
CDC Split Type:

Write-up: Became hot and felt itching minutes after receiving vaccine. No swelling of lip or tongue or throat. No rash. No shortness of breath. ER doctor on site evaluated and determined this was not likely to be an allergic reaction.


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https://www.medalerts.org/vaersdb/findfield.php?IDNUMBER=903507


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