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

This is VAERS ID 1474481



Case Details

VAERS ID: 1474481 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-07-15
Onset:2021-07-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8737 / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Oral pruritus, Rash, Rash pruritic
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Hx of Ibuprofen
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Morphine, ''Other Pain Medications'', Sulfa
Diagnostic Lab Data: Pt sent with family to nearby ER.
CDC Split Type:

Write-up: Rash to upper torso and neck, itching from rash and in mouth. Pt received vaccine at 11:55 and started having a reaction by 12:30.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1474481


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