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

This is VAERS ID 1745726

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Case Details

VAERS ID: 1745726 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Female  
Location: Arkansas  
Vaccinated:2021-09-28
Onset:2021-09-29
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 301558A / 3 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Burning sensation, Rash
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (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:
Other Medications: Unknown
Current Illness: Unknown
Preexisting Conditions: Unknown
Allergies: Sulfa, codeine, penicillin, cephalexin
Diagnostic Lab Data: NA
CDC Split Type:

Write-up: PT DEVELOPED A RASH IN EACH ARMPIT. PT SAID RASH WAS BURNING. THE RASH WAS CIRCULAR WITH THE CENTER NOT INVOLVED. RASH LOOKED DRY A LITTLE SCALY. PT STATED SHE HAD NEVER HAD THIS RASH BEFORE. PT DID NOT SEEK MEDICAL TREATMENT.


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