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From the 9/17/2021 release of VAERS data:

This is VAERS ID 1119088



Case Details

VAERS ID: 1119088 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Alaska  
Vaccinated:2021-03-20
Onset:2021-03-20
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-03-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Public       Purchased by: ?
Symptoms: Anaphylactic reaction, Breast feeding, Cough, Urticaria, Wheezing
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Asthma/bronchospasm (broad), Anaphylactic/anaphylactoid shock conditions (narrow), Eosinophilic pneumonia (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? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: unknown
Preexisting Conditions: unknown
Allergies: unknown
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient received ?rst in series covid vaccine at approximately 915... she breastfed her 12 month-old infant shortly thereafter without problem. around 1215 baby was getting fussy and breastfed for about 5 minutes before baby broke out in hives. EMS was called and epinephrine/diphenhydramine administered for course cough/wheezing, presumably anaphylaxis. Other foods consumed by baby on same day included banana, kids ?g newton bar, dried apples, meat from frozen meal, and two piece of cereal (new to baby). ER course required 4 hours of monitoring but no other medical interventions.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1119088


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