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

This is VAERS ID 907259

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Case Details

VAERS ID: 907259 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Ohio  
Vaccinated:2020-12-23
Onset:2020-12-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Pruritus, Skin irritation
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? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: Influenza
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: flu vaccine gets itching
Diagnostic Lab Data:
CDC Split Type:

Write-up: Severe itching, irritation, took oral Benadryl, proceeded to nearest Emergency Room


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=907259


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