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This is VAERS ID 1441076

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1441076
VAERS Form:2
Age:58.0
Sex:Female
Location:California
Vaccinated:2021-06-25
Onset:2021-06-25
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

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: 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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Link To This Search Result:

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


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