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

This is VAERS ID 1442614



Case Details

VAERS ID: 1442614 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-06-02
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0191 / 1 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Blood test, Blood triglycerides, Body temperature, Body temperature abnormal, Erythema, Fatigue, Feeling hot, Pruritus, Rash, Scratch, Somnolence, Urticaria, X-ray
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Accidents and injuries (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (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: AMOXICILLIN; CIPROFLOXACIN
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: COVID-19; Infection; Pneumonia; Shingles; Tooth disorder (Verbatim: Bad tooth); UTI (Verbatim: UTI)
Allergies:
Diagnostic Lab Data: Test Date: 202012; Test Name: Blood work; Result Unstructured Data: Test Result:Normal; Test Date: 202012; Test Name: Triglycerides; Result Unstructured Data: Test Result:High; Test Date: 202011; Test Name: Body temperature; Result Unstructured Data: Test Result:97.1; Test Date: 202011; Test Name: X-ray; Result Unstructured Data: Test Result:pneumonia
CDC Split Type: USPFIZER INC2021664845

Write-up: Broke out in a rash on my face and it was very itchy, it was all in the lower area, it was pretty heavy and it itched/I woke up itching my face; scratching; Broke out in a rash on my face and it was very itchy, it was all in the lower area, it was pretty heavy and it itched/ like a red rash and it was all below my eyes going from ear and behind my ear; is that shingles because I had shingles before but very mild (not clarified further) but this is pretty red.; I was like tired; I was sleepy; I do not feel like I have a fever but my face is very warm; I checked the temperature, it was 97.1 and normally, my temperature runs lower than 97, usually my temperature runs 96.1; was broken out and it is almost like welt; This is a spontaneous report from a contactable consumer. A 75-year-old female patient received first dose of BNT162B2 (BNT162B2), via an unspecified route of administration, administered in Arm Left on 02Jun2021 at 12:05 (Batch/Lot Number: EW0191; Expiration Date: 02Jun2021) as DOSE 1, SINGLE for covid-19 immunization. Medical history included bad tooth, urinary tract infection and shingles from unknown dates and covid-19 and pneumonia from Nov2020. Concomitant medications included amoxicillin (AMOXICILLIN) taken for bad tooth, start and stop date were not reported and ciprofloxacin (CIPROFLOXACIN) taken for urinary tract infection, start and stop date were not reported. Consumer stated, "I got my COVID shot on 02June2021, Wednesday and my shoulder didn''t even hurt it didn''t get red, nothing, I felt great and then the next day Thursday I felt fine. And then yesterday morning I broke out in a rash on my face and it was very itchy, it was all in the lower area, it was pretty heavy and it itched. And then this morning it''s still, I put Aloe Vera on it yesterday and it calmed it down and it felt better, it wasn''t itching anymore but this morning I woke up and it''s still there and it''s ''welt'' looking today. For her Medical Condition, Consumer stated, "Yes, I am, I have bad tooth in my mouth and I have to have it pulled and I have been on antibiotics for a week I guess. I might also mention that I had COVID in November last year and my doctor asked me to wait for 6 months before I got the shot. I had my blood work in December and everything is good. Ya everything is normal except my triglycerides are too high." Consumer stated, "I was sleepy when I got my home from getting shot, I was like tired, so I laid down on couch and rested and I have been fine and started talking. I had no side effects, no side effects, I talked about it too much. This Saturday, I woke up itching my face, scratching and I looked in mirror and I was broken out like a red rash and it was all below my eyes going from ear and behind my ear and it itches all across my face. I broke out in a rash and today, it is worse. Today, I put some aloevera on it and it helped and it saved it otherwise I just keep scratching my face of. I didn''t have fever, I checked the temperature, it was 97.1 and normally, my temperature runs lower than 97, usually my temperature runs 96.1 or something like that, I do not feel like I have a fever but my face is very warm and was broken out and it is almost like welt. I did had Covid back in November and I was very sick then, I was in the hospital, they did take me to the hospital to get an X-ray and I did have spotted pneumonia but I don''t even remember that week, I was ill. So, before I got my shot, I told them that I had urinary tract infection and I also have bad tooth and it has to be pulled (Consumer had urinary tract infection and bad tooth before getting the vaccine)and I have been on strong antibiotics (Unspecified Medications) for the whole week until I got my shot, I still was taking like 25mg of antibiotics per day for two different infections but the antibiotics works with each other and they said, I can go ahead and take my shot, it would be fine. The only thing that I am wondering is that, if it could have triggered this, I do not know. Also, I am wondering, is that shingles because I had shingles before but very mild (not clarified further) but this is pretty red. Could it be possibly be a reaction to the vaccine?" The patient underwent lab tests and procedures which included blood test: normal on Dec2020, blood triglycerides: high on Dec2020, body temperature: 97.1 on Nov2020 and x-ray: pneumonia on Nov2020. Therapeutic measures were taken as a result of broke out in a rash on my face and it was very itchy, it was all in the lower area, it was pretty heavy and it itched/ like a red rash and it was all below my eyes going from ear and behind my ear/i woke up itching my face. The outcome of the events was unknown. Information on Lot/Batch number was available. Additional information has been requested.


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