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This is VAERS ID 1475182

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1475182
VAERS Form:2
Age:31.0
Sex:Female
Location:California
Vaccinated:2021-07-14
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 FA6780 / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Acne, Dyskinesia, 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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None.
Current Illness: None.
Preexisting Conditions: None
Allergies: None.
Diagnostic Lab Data: None. Patient does not have a PCP and did not go to the hospital.
CDC 'Split Type':

Write-up: Patient received her first dose of the Pfizer COVID vaccine on 7/14 and noticed adverse reaction on 7/15. Patient reports pimples that are itchy all over her body (arm, back, neck, and leg). Patient does not have any trouble breathing. She does report involuntary movement of fingers on her left hand. Patient was then counseled to take Loratadine.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1475182&WAYBACKHISTORY=ON


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