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

This is VAERS ID 1489835



Case Details

VAERS ID: 1489835 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: California  
Vaccinated:2021-07-07
Onset:2021-07-08
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Rash macular
SMQs:, 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021869050

Write-up: Starting last night and continuing into today he reports he has red blotches all over his body; This is a spontaneous report from a contactable consumer or other non hcp. A 85-years-old elderly male patient received second dose of bnt162b2 (Pfizer BioNTech Covid 19 vaccine, Solution for injection; Batch/Lot number: Not reported) via an unspecified route of administration on 07Jul2021 as a Dose 2,Single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. Two days ago on 07Jul2021,the patient got the second shot and he got all red blotches starting last night and today on his body. The outcome of the event was unknown. No follow-up attempts possible. No further information expected.


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