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

This is VAERS ID 1454900



Case Details

VAERS ID: 1454900 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-25
Onset:2021-06-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0187 / 1 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Oral pruritus, Paraesthesia, Paraesthesia oral, Pruritus
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Unspecified high blood pressure medication
Current Illness: None
Preexisting Conditions: Hypertension
Allergies: Olive trees
Diagnostic Lab Data: None
CDC Split Type:

Write-up: At 1249, patient reported tingling and itchiness in lips and left arm. Patient denied difficulty swallowing, breathing, itchiness, rashes, and hives. Patient given water. Patient able to swallow water. Patient reported allergies to olive trees. Patient reported history of hypertension and took her medication in the morning. Lead nurse offered 911. Patient refused 911. At 1254, EMT assessed patient vitals: blood pressure 160/90 mmHg and pulse rate 67 beats/minute. At 1255, lead nurse administered intramuscular diphenhydramine 50 mg/1 ml in patient''s right arm. Patient advised to wait for further observation. At 1305, EMT reassessed patient vital signs: blood pressure 158/82 mmHg and pulse rate 66 beats/minute. At 1318, EMT reassessed patient vital signs: blood pressure 162/86 mmHg and pulse rate 69 beats/minute. At 1328, EMT reassessed patient vitals: blood pressure 168/86 mmHg and pulse rate 68 beats/minute. Lead nurse assessed patient. Patient denied tingling and itchiness in lips and left arm. Patient denied drowsiness. Patient offered transportation. Patient refused transportation. Lead nurse educated patient on signs/symptoms of when to seek care, to sign up on v-safe, and to follow up with primary care provider. At 1333, patient left facility with unlabored respirations and steady gait.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1454900


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