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

This is VAERS ID 1467751



Case Details

VAERS ID: 1467751 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Alabama  
Vaccinated:2021-07-13
Onset:2021-07-13
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 048C21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Pruritus
SMQs:, Anaphylactic reaction (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: UNKNOWN
Current Illness: UNKNOWN
Preexisting Conditions: NONE
Allergies: LATEX GABAPENTIN CODEINE BARBITURATES PENCILLINS
Diagnostic Lab Data: n/a
CDC Split Type:

Write-up: patient stated that she was itching in both arms/wrists/hands - she was given 5ml of bendaryl 15 minutes later - pt stated that she felt fine but still had the itching feeling. no sign of difficulty of breathing - I called the patient later tonight to check on her and she was doing fine


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1467751


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