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

This is VAERS ID 1769017

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Case Details

VAERS ID: 1769017 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-09-29
Onset:2021-10-04
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-10-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FF2589 / 3 RA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Rash, Rash papular
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), 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: Betahistine, fosamax, magnesium, B-12, and women''s multi-vitamin
Current Illness: urinary tract infection
Preexisting Conditions: none
Allergies: Sulfa, augmentin
Diagnostic Lab Data: My internist reviewed the pictures I took of the rash and thought it could be related to getting the booster vaccine. So I reported it.
CDC Split Type:

Write-up: I woke up with raised white bumps covering my arms, upper legs and behind. They were most pronounced on my thighs and behind but they also lightly covered by arms and torso. There were NO other symptoms - NO fever, NO itching, NO problem swallowing, etc. Just a lot of raised white bumps . My internist saw the pictures I took of it and thought it could be related to getting the booster vaccine.


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