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

This is VAERS ID 906007

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Case Details

VAERS ID: 906007 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: California  
Vaccinated:2020-12-19
Onset:2020-12-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Blood pressure increased, Heart rate increased, Pruritus, Throat irritation, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypertension (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (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: Elderberry supplement and Zyrtec
Current Illness: Headache
Preexisting Conditions: Diabetic and migraine
Allergies: Aspirin, robaxin, hydrocodone
Diagnostic Lab Data:
CDC Split Type:

Write-up: About 10 minutes after the injection I felt something in my throat like when I have a sore throat. I was checked by the nurse and she said my pulse is beating a little faster. My breathing was fine. I was brought to Er and my blood pressure was elevated than usual. About almost an hour after the vaccine my forehead started itching and but I was given benandryl so my hives didn?t continue to develop..


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