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From the 11/19/2021 release of VAERS data:

This is VAERS ID 1753327

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Case Details

VAERS ID: 1753327 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: New York  
Vaccinated:2021-09-30
Onset:2021-09-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC3184 / 3 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Erythema, Pruritus
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness: na
Preexisting Conditions:
Allergies: At time of vaccination patient declined any allergies or history of reaction to vaccines, After the patient received her dose and stared to develop redness/itching of her chest, she stated that she might have gotten slightly itchy with her second dose of pfizer vaccine. Later she said she also sometimes gets itchy after eating eggs.
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient got her pfizer vaccine and developed redness and itching on her chest 15 minutes after. She said her face felt slightly itchy as well. She was given 2 tablets of diphendydramine 25 mg. Her symptoms did not progress. She was monitored for a half hour then returned home. No addition medical intervention was given.


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