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

This is VAERS ID 1437627



Case Details

VAERS ID: 1437627 (history)  
Form: Version 2.0  
Age: 14.0  
Sex: Female  
Location: Massachusetts  
Vaccinated:2021-06-26
Onset:2021-06-29
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: Amoxicillin, penicillin (hives)
Diagnostic Lab Data:
CDC Split Type:

Write-up: On the night of 6/29/21, developed hives in random places on abdomen, back, legs, backs of arms. Applied calamine lotion and hives were gone in the morning.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1437627


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