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This is VAERS ID 1346824

History of Changes from the VAERS Wayback Machine

First Appeared on 5/28/2021

VAERS ID: 1346824
VAERS Form:2
Age:16.0
Sex:Male
Location:Oregon
Vaccinated:2021-05-21
Onset:2021-05-22
Submitted:0000-00-00
Entered:2021-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8736 / 1 RA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Cheilitis, Erythema, Lip swelling, Pruritus, Lip erythema

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None at this time.
CDC 'Split Type':

Write-up: Patient received above noted COVID19 Vaccine on Friday morning and reported symptoms starting Saturday morning. Symptoms include lip swelling, lip rash, and erythema only affected the lip area of the face. Symptoms have persisted for 3 days and that is when the pharmacy was contacted. Mother has given Benadryl to patient to help with itching/swelling. Pharmacist recommended close monitoring for worsening symptoms and to follow-up with primary care provider for further guidance.

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