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This is VAERS ID 1382037

History of Changes from the VAERS Wayback Machine

First Appeared on 6/11/2021

VAERS ID: 1382037
VAERS Form:2
Age:17.0
Sex:Male
Location:Washington
Vaccinated:2021-05-30
Onset:2021-06-04
Submitted:0000-00-00
Entered:2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0196 / 2 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Hypersensitivity, Pruritus, Urticaria

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: NONE
Preexisting Conditions: ALLERGIES
Allergies: HE HAS A HISTORY OF ALLERGIES, AND food products also. but not to medications. ALLEGIC TO NSAIDS
Diagnostic Lab Data: NONE
CDC 'Split Type':

Write-up: PT SAID HE GOT THE SHOT ON 5.30.21, HIS 2ND DOSE, THEN IN 6.4.21,, EARLY IN THE MORING, HE WAS FULL OF HIVES ON HIS ARMS ONLY. BOTH ARMS, THE PT TOOK SOME BENADRYL AND CORTISONE CREAM. IT RELIEF THE ITCHING. HE CAME TO THE PHARMACY ON 6.7.21, TO LET ME KNOW WHAT HAPPEN. HE SHOW ME HIS ARM AND IT WAS AL CLEAR. I TOLD HIM IF HE HAS A BREAK OUT TO FOLLOW WITH HIS DR IF THESE FLAIRS UP AGAIN. HE IS GETTING ALLERGY TESTED, HE SAID HE DINT CHANGED ANYTHING IN HIS DIET, OR NEW MEDICATIONS. ITS SEEMS IT WAS DELAYED HYPERSENSITIVITY REACTIONS TO COVID VACCINE

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1382037&WAYBACKHISTORY=ON


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