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From the 10/15/2021 release of VAERS data:

This is VAERS ID 907032



Case Details

VAERS ID: 907032 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Male  
Location: Ohio  
Vaccinated:2020-12-22
Onset:2020-12-22
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 039K20A / UNK LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Pruritus
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Benedryl 50mg and Pepcid 20mg Tablet
Current Illness: none
Preexisting Conditions: High Blood Pressure
Allergies: no
Diagnostic Lab Data: na
CDC Split Type:

Write-up: States had generalized itching and ask for benedryl. 50mg Benedryl Tablet given PO after 10 minutes ask for Pepcid. After 15 minutes states he feels better and issues resolved


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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=907032

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