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This is VAERS ID 1454671

History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1454671
VAERS Form:2
Age:23.0
Sex:Male
Location:Missouri
Vaccinated:2021-07-07
Onset:2021-07-07
Submitted:0000-00-00
Entered:2021-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0161 / 2 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Injection site reaction, Pruritus, 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: pt was given 50mg Benadryl po at 0915 and watched for an additional 20 minutes.
CDC 'Split Type':

Write-up: pt started to complain of itching to his left arm. pt was noticed to have a couple welps around the injection site and red raised hive on his upper lip

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1454671&WAYBACKHISTORY=ON


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