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This is VAERS ID 1437627

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1437627
VAERS Form:2
Age:14.0
Sex:Female
Location:Massachusetts
Vaccinated:2021-06-26
Onset:2021-06-29
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

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: 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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Link To This Search Result:

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


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