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From the 10/15/2021 release of VAERS data:

This is VAERS ID 1697593

Case Details

VAERS ID: 1697593 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: New York  
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private       Purchased by: ?
Symptoms: Asthma, Eye pruritus, Restless legs syndrome, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Asthma/bronchospasm (narrow), Eosinophilic pneumonia (broad), 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: Flu Vaccine- Edema,Hives Pfizer 1st dose Asthma exasperated
Other Medications: Albuterol inhaler taken the last time on 8/25/21. 10 minutes after 1st Pfizer vaccine. Had asthma issues for 2-3 days following first (thought was a coincidence).
Current Illness: Occasionally GI upset due to chronic gallbladder
Preexisting Conditions: Systemic Lupus (though one remission for the last 4 years) Asthma
Allergies: Flu Vaccine, Shell fish, fish derivatives, Naproxen, doxycycline, Ceftin, Augmenting, IV and oral contrast both types, latex
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Had first vaccine on 8/25/21 had asthma attack 10 minutes post vaccine ( had significant asthma issues for 2-3days.. At first thought it was a coincidence). Had vaccine today 10-15 minutes later has asthma attack took inhaler still felt a bit tight after. Hives on face and chest, itchy eyes. Five hours after vaccine have restless leg like symptoms

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