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

This is VAERS ID 1365892



Case Details

VAERS ID: 1365892 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), 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: penicillin
Other Medications: Birth control (Sprintec).
Current Illness: None.
Preexisting Conditions: Eczema.
Allergies: Seasonal allergies, dust, dogs, cats. Gluten.
Diagnostic Lab Data:
CDC Split Type:

Write-up: After 7 hours I noticed a rash all over my body. At this time I have bumps all over. I will be going to visit a doctor if the rash gets worse and does not improve within 24hrs of the 1st dose.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1365892


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