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From the 6/4/2021 release of VAERS data:

This is VAERS ID 1265957



Case Details

VAERS ID: 1265957 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Unknown  
Vaccinated:2021-04-09
Onset:2021-04-11
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Rash, Road traffic accident
SMQs:, Anaphylactic reaction (broad), Accidents and injuries (narrow), Hypersensitivity (narrow), 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021406021

Write-up: developed rashes from neck down to her feet; car accident; This is a spontaneous report from a contactable consumer (patient). A 20-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE) (lot number/expiration date: not provided), via an unspecified route of administration, on 09Apr2021 as a single dose for COVID-19 IMMUNIZATION. Co-suspect included muscle relaxant. Relevant medical history and concomitant medication were not provided. On 11Apr2021, the patient experienced a car accident and was prescribed a muscle relaxant. On 13Apr2021, the patient experienced developed rashes from neck down to her feet. The patient was asking if this was vaccine related or from the muscle relaxant that she took. Treatment received for the event car accident included a muscle relaxant. The outcome of the events car accident and rash was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.


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