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From the 9/3/2021 release of VAERS data:

This is VAERS ID 1411961



Case Details

VAERS ID: 1411961 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Female  
Location: Foreign  
Vaccinated:2021-05-31
Onset:2021-06-03
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / OT

Administered by: Other       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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Hypercholesterolaemia; Hypertension
Allergies:
Diagnostic Lab Data:
CDC Split Type: JPPFIZER INC2021656916

Write-up: Urticaria; This is a spontaneous report from a contactable physician received via COVID-19 Adverse Event Self-Reporting Solution (COVAES). The patient was a non-pregnant 70-year-old female. It was unknown whether the patient receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient received Hypertension, Hypercholesterolaemia prescription drugs within 2 weeks of vaccination. It was unknown whether the patient had been diagnosed with COVID-19. On 31May2021(the day of vaccination), the patient received the first single dose of BNT162B2 (COMIRNATY, Solution for injection, Lot number unknown) intramuscular for COVID-19 immunization. On 03Jun2021(the day after vaccination), the patient experienced Urticaria. The reporter stated the event(s) results in doctor or other healthcare professional office/clinic visit. The outcome of the event was not recovered with treatment including Bepotastine Besilate orally. It was unknown whether the patient has been tested for COVID-19 since the vaccination. Information about lot/batch number cannot be obtained.


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