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From the 9/10/2021 release of VAERS data:

This is VAERS ID 1457016



Case Details

VAERS ID: 1457016 (history)  
Form: Version 2.0  
Age: 74.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Lip swelling, Pruritus, Swelling face
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Hypersensitivity (narrow), 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: Propranolol, biotin, fluoxetine, Valisone, Premarin, Synthroid, Zyrtec
Current Illness:
Preexisting Conditions: Hypothroidism, hyperlipidemia, ostepenia, anxiety, GERD
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Itching, face swelling , lips swelling


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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1457016


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