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

This is VAERS ID 1465779



Case Details

VAERS ID: 1465779 (history)  
Form: Version 2.0  
Age: 53.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-06-30
Onset:2021-07-02
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0181 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dyspnoea, Pruritus
SMQs:, Anaphylactic reaction (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: SEASONAL ALLERGIES
Preexisting Conditions: N/A
Allergies: KEFLEX, MOLD
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: THE PT STARTED OFF WITH 2 AREAS OF ITCHY ON LEG. SHE STATED IT STARTED A COUPLE DAYS AFTER. THEN 11 DAYS LATER SHE STARTED HAVING DIFFICULTY BREATHING. SHE USED AN EPI PEN THAT SHE HAD AT HOME DUE TO HER ALLERGY WITH KEFLEX. SHE FELT MUCH BETTER BUT CALLED TODAY TO ASK IF SHE SHOULD GET HER 2ND DOSE. SHE IS GOING TO CONSULT HER PHYSICIAN AND THEY CAN MAKE THE DECISION AS TO THE 2ND DOSE. I SUGGESTED IF SHE DOES GET IT SHE SHOULD GET IT IN A CLINIC SETTING.


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