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From the 7/23/2021 release of VAERS data:

This is VAERS ID 1331244



Case Details

VAERS ID: 1331244 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-05-19
Onset:2021-05-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0172 / UNK RA / -

Administered by: School       Purchased by: ?
Symptoms: Throat tightness
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Celiac''s Disease
Preexisting Conditions: Celiac''s Diseas.
Allergies: Cats
Diagnostic Lab Data: None.
CDC Split Type:

Write-up: Patient stated that she felt her throat was closing. Heart rate was assessed no interruptions in breathing. Examined throat no inflammation or redness noted. Patient had normal chest rise and fall through entire assessment. Was observed an additional fifteen minutes after initial thirty minute observation due to patient''s allergy to cats and diagnosis of Celiac''s disease.


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