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

This is VAERS ID 1777608

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Case Details

VAERS ID: 1777608 (history)  
Form: Version 2.0  
Age: 25.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-10-09
Onset:2021-10-09
   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 PFIZER FE3590 / 3 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Erythema, Feeling hot, Injection site erythema, Injection site warmth
SMQs:, Anaphylactic reaction (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (broad), 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: Sore arm, fatigue, headache to COVID Pfizer 2nd dose.
Other Medications: Viibryd 15 mg, Gabapentin 300 mg, Farxiga 10 mg, Metformin ER 1000mg, Novolog Insulin Solution, Prazosin 2 mg, Lamotrigine ER 200mg, Trazodone 50 mg, Tizanidine 10 mg (?)
Current Illness: Diagnosed with mononucleosis on 9/4/2021
Preexisting Conditions: Diabetes II
Allergies: NKA
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: On the date of injection (10/9/2021), I found a quarter size spot of red, hot skin on right arm near the elbow (opposite injection arm), took Benadryl, problem persists 2 days later. On 10/10/2021, I found a quarter size spot of red, hot skin near the injection site, but not ON the injection site. Took Benadryl, problem persists 1 day later. On 10/11/2021, the red, hot skin on the right arm has spread and covers the entire upper arm, from the elbow to the shoulder.


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