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

This is VAERS ID 1693294

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Case Details

VAERS ID: 1693294 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Idaho  
Vaccinated:2021-09-10
Onset:2021-09-10
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3182 / 3 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cough, Dyspnoea, Peripheral swelling, Pruritus, Wheezing
SMQs:, Cardiac failure (broad), Anaphylactic reaction (narrow), Angioedema (broad), Asthma/bronchospasm (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad), 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: None
Current Illness: None
Preexisting Conditions: None
Allergies: Latex, diazepam, hydrocodone
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: About 30 minutes later my arm was itchy, then swollen and I felt slightly short of breath so I took 50mg of Benadryl and my symptoms went away. When I woke up today, they were back so I took another 50 mg of Benadryl. Now at 7:30 pm I am more short of breath and wheezing, and coughing so I am more concerned. I am a nurse, so I know when I would need to go to the hospital. I will take more Benadryl but I thought I should report this.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1693294


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