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

This is VAERS ID 1390057



Case Details

VAERS ID: 1390057 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: California  
Vaccinated:2021-06-01
Onset:2021-06-04
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EWO185 / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: 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: Lisinopril Atorvastatin Omeprazole
Current Illness: None
Preexisting Conditions: Hypertension Hyper cholesterol Hyper parathyroid
Allergies: Codiene
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Hives started on my abdomen on day 3 and are spreading to upper arms and legs. Tried Benedryll first then Zyrtec. Went to see doctor on day 6 and was given a Solu-Medrol injection and prescription for a Medrol dose pack. On day two of dose pack currently.


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