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From the 9/10/2021 release of VAERS data:

This is VAERS ID 1368182



Case Details

VAERS ID: 1368182 (history)  
Form: Version 2.0  
Age: 86.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-05-12
Onset:2021-06-01
   Days after vaccination:20
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0179 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Burning sensation, Erythema
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Flu vaccine reaction 3 years ago, had redness at site injection site. She was approx 83, at the time and is not sure of brand.
Other Medications: atenolol, amlodipine, atorvastatin not sure if she was taking atorvastatin or not during time of vaccine), lisinopril, gingko bibola, multivitamin biotin, calcium, CoQ10. In January 2021 got steroid injection into knee. triamcinolone ace
Current Illness: None
Preexisting Conditions: CAD- stent HTN hyperlipidemia cerebral migroangiopathy
Allergies: no known allergies
Diagnostic Lab Data: none.
CDC Split Type:

Write-up: After 4 hours after first vaccine had redness and burning in face and skull (4/21/21) was date of first vaccine), it resolved in the afternoon 4/22/21. June 1, 2021, which was 20 days after her second vaccine., she facial redness and burning sensation sensation on face. Noticed that her forehead was hot.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1368182


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