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From the 1/14/2022 release of VAERS data:

This is VAERS ID 905929

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Case Details

VAERS ID: 905929 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Female  
Location: Illinois  
Vaccinated:2020-12-16
Onset:2020-12-17
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2020-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Burning sensation, Cough, Dizziness, Dyspnoea, Fatigue, Injection site pain, Pain, Pyrexia, Rash, Rash macular, Rash pruritic, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Extravasation events (injections, infusions and implants) (broad), Cardiomyopathy (broad), Vestibular disorders (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? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness: Vitamin D Deficient, Iron deficient
Preexisting Conditions: Vitamin D Deficient, Iron deficient, Asthma Blood Type: O-
Allergies: Sulfur drugs, clindamycin, tramadol, Vicodin, Tylenol with codeine buffalo gnats (anaphylaxis)
Diagnostic Lab Data: unsure of tests ran when seen in the ER.
CDC Split Type:

Write-up: Received the vaccine Wednesday evening, after work. Waited the recommended 15 minutes, then went home and went to bed. Woke up Thursday feeling fatigued and had injection site pain, no other side effects or fever. Thursday evening, I developed body aches and a low-grade fever. I took Tylenol and went to bed. Friday, when I woke up around 1pm, I noticed a small rash behind my left knee. I took Benadryl and ended up falling back asleep. When I woke up Friday evening, I had the rash, and hives, and red/white splotches all over my legs. I took Benadryl and consulted my doctor. The rash continued to spread to my arms, and stomach. The rash itched and burned. I went to the ER Friday night for it. Before they gave me medication, I started coughing, couldn''t breathe for a minute, and got lightheaded. They gave a steroid, Pepcid, Benadryl, and fluids. They observed me for several hours. I felt better then was discharged. They told to continue to take Benadryl or Zyrtec for a couple days. 5 days later, the rash/hives are still red, itchy and present, especially when Benadryl wears off.


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