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

This is VAERS ID 1775432

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Case Details

VAERS ID: 1775432 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-10-08
Onset:2021-10-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-10-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 772589 / 3 - / SYR
UNK: VACCINE NOT SPECIFIED (OTHER) / UNKNOWN MANUFACTURER - / 1 - / SYR

Administered by: Private       Purchased by: ?
Symptoms: Urticaria
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), 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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: venlafaxine, buproprion, clonazepam, buspirone. levonorgestrel,
Current Illness: Flu vaccine on same date
Preexisting Conditions: Generalized anxiety and major depressive disorder
Allergies: tylenol with codeine - causes itching
Diagnostic Lab Data: n/a
CDC Split Type:

Write-up: urticaria rash started 24hrs after injection


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