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From the 9/17/2021 release of VAERS data:

This is VAERS ID 1441076



Case Details

VAERS ID: 1441076 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: California  
Vaccinated:2021-06-25
Onset:2021-06-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0183 / 2 LA / IM

Administered by: Private       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: Cromolyn Sodium 100mg x2; valtrex 500mg; vitamin d 5,000mg
Current Illness: none
Preexisting Conditions: diagnosed with systemic mastocytosis
Allergies: sulfa and penicillin; diagnosed with systemic mastocytosis and couldn''t list my allergies due to the volume
Diagnostic Lab Data: allergic to injectable steroids and was given prescription for oral medication.
CDC Split Type:

Write-up: broke out in hives all over body


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1441076


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