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

This is VAERS ID 1486899



Case Details

VAERS ID: 1486899 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-07-18
Onset:2021-07-18
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA7485 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Rash, Rash erythematous, Rash pruritic, Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Metformin, Tylenol
Current Illness: n/a
Preexisting Conditions: DM
Allergies: Strawberries
Diagnostic Lab Data: n/a
CDC Split Type:

Write-up: Red itchy hives on multiple areas of body to include face, arms, legs, and abdomen. Began approximately 4 hours after injection on legs: after overnight red bumps/hives appeared on other areas as above.


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