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This is VAERS ID 1474481

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1474481
VAERS Form:2
Age:23.0
Sex:Female
Location:Florida
Vaccinated:2021-07-15
Onset:2021-07-15
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: Rash, Rash pruritic, Oral pruritus

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? 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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