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

This is VAERS ID 1450061



Case Details

VAERS ID: 1450061 (history)  
Form: Version 2.0  
Age: 82.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-06-18
Onset:2021-06-25
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Injection site induration, Injection site nodule, Injection site reaction, Injection site swelling, Injection site warmth, Rash erythematous, Rash pruritic
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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: Verapamil; multi-vitamin;
Current Illness: None
Preexisting Conditions: hypertension
Allergies: n/k/a
Diagnostic Lab Data: None.
CDC Split Type:

Write-up: A week after her first dose of the Pfizer vaccine her arm swelled at the injection site and developed a red, itchy rash. She also had a hard knot / nodule at the site and the area was very warm to the touch. It took about 5 days for the nodule to decrease in size. As of July 6 she still has some redness and a rash on her arm.


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