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This is VAERS ID 1483576

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1483576
VAERS Form:2
Age:14.0
Sex:Female
Location:Arkansas
Vaccinated:2021-06-30
Onset:2021-07-01
Submitted:0000-00-00
Entered:2021-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP7534 / 1 RA / -

Administered by: School      Purchased by: ??
Symptoms: Vaccination site pain, Vaccination site vesicles

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': USPFIZER INC2021848850

Write-up: Came up with this bubble like on her skin; maybe like it get burned or something; skin blisters; Came up with this bubble like on her skin; maybe like it get burned or something; skin blisters on right arm at injection site; This is a spontaneous report from a contactable consumer (parent). A 14 years old non-pregnant female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection; Lot Number: EP7534, Expiration date, NDC number and UPC number: Unknown), via an unspecified route administered in Right Arm on 30Jun2021 at 11:45 AM (14 years old at vaccination) as DOSE 1, SINGLE for COVID-19 immunization. The patient''s medical history was not reported. No known allergies were reported. Patient did not receive any medications in 2 weeks. The patient did not take any other vaccine in four weeks of vaccination. The patient did not have Covid-19 prior to vaccination. Patient took the vaccine and about a day or so after, on 01Jul2021, patient had this bubble like on her skin. If it could visualize what kind of thing, maybe like it get burned or something ''and'' her skin blisters on right arm at injection site. Since vaccination, the patient was not tested for Covid-19 infection. The patient did not receive any treatment for the events. The outcome of the events was not recovered.

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