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This is VAERS ID 1693494

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History of Changes from the VAERS Wayback Machine

First Appeared on 9/17/2021

VAERS ID: 1693494
VAERS Form:2
Age:28.0
Sex:Female
Location:Puerto Rico
Vaccinated:2021-09-11
Onset:2021-09-11
Submitted:0000-00-00
Entered:2021-09-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FF2589 / 2 LA / IM

Administered by: Work      Purchased by: ??
Symptoms: Erythema, Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Gastritis
Allergies: Shellfish, iodine and ants
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: 28 year old patient after receiving the second dose of Pfizer after 20 minutes started to feel a rash on the neck and then the skin turned red on the chest just like the left wrist. At 4:42pm, the patient took half of a Benadryl 25mg and her vitasls were verified which were: 107 pulse, 98 saturation, 120/70 B/P and clear lungs. Patient was kept in observation and later at 4:56pm took the other half of the Benadryl. At 5:10pm, the patient was re-evaluated and the vital signs were: 108 Pulse, 110/80 B/P, 99 saturation and 16 Respiration.

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