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This is VAERS ID 1454707

History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1454707
VAERS Form:2
Age:13.0
Sex:Female
Location:California
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 EW0186 / 1 LA / SC

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

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: N/A
Current Illness: verruca vulgaris
Preexisting Conditions: N/A
Allergies: NKDA
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient complained of bilateral arm itching about 14 minutes after vaccine. No respiratory distress noted. No rash noted. O2 sats were 98% on RA throughout event. She was given Benadryl 25 mg PO liquid. Instructed to call 911 if she has further distress at home.

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