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This is VAERS ID 1450610

History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1450610
VAERS Form:2
Age:28.0
Sex:Female
Location:California
Vaccinated:2021-06-25
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 EW0175 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Pruritus

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:
Current Illness:
Preexisting Conditions:
Allergies: Penicillin
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: At 1:25pm patient reported that she felt slight itching (on-and-off) mostly occurring on upper extremities. V/S monitored - BP 117/91, P-85, RR-17, 02 Sat 98% RA Patient given oral Bendryl 25mg. No shortness of breath noted, no coughing or throat itching. No redness on skin (hives) noted. Patient reported less itching after taking Benadryl. Advised patient to see help from physician is symptoms worsen. Vital signs BP 118/89, RR-17, P-85, 02 Sat 98% RA

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