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From the 11/26/2021 release of VAERS data:

This is VAERS ID 1689176

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Case Details

VAERS ID: 1689176 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-09-10
Onset:2021-09-10
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FD0809 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Cough, Throat irritation
SMQs:, Anaphylactic reaction (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow)

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: Carafate, Macrobid, Dulera, Robaxin, Mobic, Atarax, Gabapentin, Lidex, Albuterol inhaler, Bentyl
Current Illness:
Preexisting Conditions: Allergies
Allergies: Dogs, Grass, Iodine dye, Nickel, Latex
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient received her first Covid Pfizer vaccine in our facility today. Due to allergy HX patient was instructed to wait for 30 mins in observation. Patient received vaccine at 10:48am at 11:18am patient complained of itchy throat and presented with a cough. Provider was notified immediately and ordered for the patient to receive 25 mg of Benadryl IM. After administration of Benadryl patient was observed for another15 mins. Patient reported feeling ok with no itchiness or cough present. Patient educated and given literature of what to expect after vaccination and instructed to call 911 or report to nearest ER immediately if any severe reactions are displayed. Patient discharged to home accompanied by her husband.


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