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This is VAERS ID 1371538

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1371538
VAERS Form:2
Age:53.0
Sex:Female
Location:Unknown
Vaccinated:2021-06-03
Onset:2021-06-03
Submitted:0000-00-00
Entered:2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Erythema, Pruritus, Musculoskeletal discomfort

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Patient reported taking 2 Benadryl''s by mouth prior to vaccine.
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient reported within minutes of having generalized, constant itching, mild erythema noted to patient''s upper back, where she scratched repeatedly, no rash or respiratory distress noted

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1371538&WAYBACKHISTORY=ON


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