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This is VAERS ID 1768408

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First Appeared on 10/8/2021

VAERS ID: 1768408
VAERS Form:2
Age:55.0
Sex:Female
Location:Illinois
Vaccinated:2021-10-04
Onset:2021-10-04
Submitted:0000-00-00
Entered:2021-10-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FE3592 / 3 LA / IM

Administered by: Work      Purchased by: ??
Symptoms: Body temperature increased, Burning sensation, Dizziness, Fatigue, Injection site erythema, Injection site pain, Injection site pruritus, Injection site warmth, Rash, Rash erythematous, Injection site swelling

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Nifidepine 40 mg daily, Quinapril 25 mg /12.5 HCTZ daily, Metoprolol XL 25mg daily, Metformin 500 mg daily, Rotarvastin490 mg at HS
Current Illness: HTN, DM 2
Preexisting Conditions: HTN , DM x 6months
Allergies: None Known
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: Received dose at approx. 9:45 am , returned to work and end her shift 3:30 pm went home tired, went to bed until 6pm woke up and had a tem of 101 F temporal , took Aleve went back to sleep and woke up around 12 am feeling fatigue and dizzy took water and went back to sleep, woke up at 5am the following day and notice rashes on trunk area, looking red and burning , also felt swelling and sore on injected site area feels warm and applied cold compress no relief. Took Aleve and Benadryl itching was relieved and burnins sensation minimize but painful to touch. The next few was very uncomfortable with pain on injected site with no temporary relief on OTC meds. She then seek help from Covid clinic nurse for further evaluation. Upon assessment, L deltoid area appears reddened with swelling and warm to touch with moderate pain

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