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This is VAERS ID 1776764

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/15/2021

VAERS ID: 1776764
VAERS Form:2
Age:56.0
Sex:Female
Location:Unknown
Vaccinated:2021-10-01
Onset:2021-10-01
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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? 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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