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

This is VAERS ID 1368285



Case Details

VAERS ID: 1368285 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Colorado  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0175 / 1 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Erythema, Pruritus, Rash, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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: Remicade
Current Illness:
Preexisting Conditions: Chron''s disease
Allergies: Allergic to Morphine. Given in a hospital setting where she had a generalized hives reaction.
Diagnostic Lab Data:
CDC Split Type:

Write-up: 1645 pt vaccinated with 1st dose of Pfizer 1701 pt expressed itchiness around throat, upper chest, and upper arms. redness visible on chest and arms, small hives appearing under chin/on upper neck. 1704 more small hives appearing under chin/upper neck, redness expanded laterally across entire upper neck/under chin. HR 76 RR 18 O2: 94 BP 140/90. pt complained of legs itching. 50mg Diphenhydramine (Benedryl) oral tablets given. 1726 pt hives and redness decreased. no longer complained of itching. skin color returned under chin, although small bumps remained. HR 76 O2 94 BP 132/80 1730 pt asked to leave, we explained risks of having Benedryl and driving. She said she has taken Benedryl before and no fatigue side effects. 1735 pt left clinic


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