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

This is VAERS ID 1430908



Case Details

VAERS ID: 1430908 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-06-24
Onset:2021-06-26
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0183 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Dermatitis acneiform, Rash
SMQs:, Anaphylactic reaction (broad), 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: Keppra 500mg
Current Illness: Bronchitis
Preexisting Conditions: Seizure Disorder
Allergies: Cipro Amoxicillian
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pimpled rash all over chest, shoulders, neck


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1430908


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