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

This is VAERS ID 1377950



Case Details

VAERS ID: 1377950 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0179 / 1 RA / IM

Administered by: Work       Purchased by: ?
Symptoms: Headache, Insomnia, Pruritus, 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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Hydroxyzine 25 mg qhs Zyrtec qhs Buspar 15 mg qhs Neurontin 600 mg t.i.d. *on Rinvoq, Arava, Plaquenil (all stopped 1 week prior to vaccine per doctor''s advice. Will resume taking it on June 11)
Current Illness:
Preexisting Conditions: chronic pancreatitis, lupus, ra, Sjogren''s syndrome. mctd, fibromyalgia, Raynaud''s, about a dozen spinal issues, anxiety/ptsd, migraines.
Allergies: PCNs, Cephlasporins, Naproxen, Percocet, Morphine, Steroids, Vancomycin, Reglan, Latex, adhesives of any kind, proteins in milk. Adverse reactions also to Lyrica, Fentanyl, wool, polyester
Diagnostic Lab Data:
CDC Split Type:

Write-up: Headache (still on day 4) & horrible itchy, hives (despite being on 2 antihistamines daily). Hives are on my face, neck, chest, & both arms. The incessant itching is keeping me awake at night. Nothing is helping.


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