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From the 1/14/2022 release of VAERS data:

This is VAERS ID 1801497

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Case Details

VAERS ID: 1801497 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-10-12
Onset:2021-10-13
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-10-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
DTAP: DTAP (DAPTACEL) / SANOFI PASTEUR - / UNK RA / SYR
FLUA4: INFLUENZA (SEASONAL) (FLUAD QUADRIVALENT) / SEQIRUS, INC. - / UNK LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Biopsy skin abnormal, Blister, Burning sensation, Culture, Exposure during pregnancy, Fatigue, Genital rash, Headache, Herpes simplex test, Oropharyngeal pain, Pain, Rash, Rash macular, Rash pruritic, Rash vesicular, Skin exfoliation, Streptococcus test negative, Tonsillar ulcer, Vaccination complication, Viral infection
SMQs:, Severe cutaneous adverse reactions (broad), Anaphylactic reaction (broad), Agranulocytosis (broad), Peripheral neuropathy (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Skin tumours of unspecified malignancy (broad), 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: Prescriptions: Zoloft 50 mg, Wellbutrin SR 200 mg, Flonase & Azelastine Allergy Nasal Spray, Labetalol 100 mg 2x daily, Aimovig Autoinjector 70 mL monthly, Cyclobenazaprine 5 mg (as needed for migraine), Fiorcet (bultalbital 40 mg, acetam
Current Illness: none
Preexisting Conditions: high blood pressure (well managed) scoliosis rhinitis and allergies to trees, grass, mold, dust mites, cats, dogs
Allergies: Septra, Phenergen, Sulfa drugs
Diagnostic Lab Data: Strep culture - negative 10/15 HSV 1 culture - pending 10/15 3 mm skin biopsy - 10/18; results received 10/20 and confirmed rash caused by viral eruption as suspected.
CDC Split Type:

Write-up: red blister like bumps developed on right index finger wed night post vaccine, then right middle and right pinky finger on thurs. Thurs night developed right tonsillar ulcer. Red spots on fingers were itchy and hands felt burning. OB asked me to follow up with PCP. PCP appointment friday, more spots appeared on hands. Continued to burn and itch. Negative strep test and HSV 1 culture ordered (result still pending). PCP stumped as I was not presenting typically for HSV infection, Hand Foot Mouth, or other but mentioned erthema multiforme as possibility. Had me follow up with dermatologist for monday appt. Saturday additional spots appeared on soles of feet, buttocks, and pubic area but not on mucous membranes. Sore throat and extreme fatigue all weekend. Treated with tylenol, benadryl, and topical cortizone cream for relief. Derm appt monday am. More spots developed by then, on shoulder, toes, hands. Derm suspected a viral eruption related to influenza vaccine. Took a 3mm core biopsy from spot on left wrist and prescribed clobetasol cream 0.05%. Today is wed... cream is making spots shrink, less red, no itching. Blisters now peeling. Still feeling fatigue, headache, and soreness. No new spots. At time of vaccine 10/12/21, was 29 weeks pregnant. As of 10/17, 30 weeks pregnant. Due Dec 26 2021. No prior history of adverse reactions to vaccines.


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