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This is VAERS ID 1450061

History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1450061
VAERS Form:2
Age:82.0
Sex:Female
Location:Texas
Vaccinated:2021-06-18
Onset:2021-06-25
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 reaction, Injection site warmth, Rash erythematous, Rash pruritic, Injection site swelling, Injection site nodule

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: 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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