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

This is VAERS ID 1776764

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Case Details

VAERS ID: 1776764 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-10-01
Onset:2021-10-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0168 / 1 LA / IM

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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: "she has had allergic reactions with shots before " follows with an allergist losartan PPIs
Diagnostic Lab Data:
CDC Split Type:

Write-up: "I received the first Pfizer dose of the COVID-19 Vaccine today and developed hives on my lower legs" Called in the report approx 1 hour after shot. PCP Rx''d Benadryl, stroids, and EPIPEN (if needed). Patient took Bendryl with plans to follow-up with allergist. She declined need for ER.


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