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

This is VAERS ID 910338

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Case Details

VAERS ID: 910338 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Female  
Location: New Hampshire  
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2020-12-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private       Purchased by: ?
Symptoms: Anaphylactic reaction, Migraine, Pain in extremity
SMQs:, Anaphylactic reaction (narrow), Anaphylactic/anaphylactoid shock conditions (narrow), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Mesalamine 4.8 G daily dICYCLOMINE 1MG 2 time daily Doxazosin 1mg daily Hydroxyzine 25 mg 1 daily Lithium 900 mg extended release Latuda 20 mg 1 daily Lamictal 200 mg daily
Current Illness: None
Preexisting Conditions: Bipolar ulcerative colitis
Allergies: Ubrelvy 50 mg
Diagnostic Lab Data: I am going to have a sensitivity test on 01/04/2020 To rule out either the COVID vaccine reaction or Allergic reaction
CDC Split Type: vsafe

Write-up: Arm pain and Migraine .. Took Migraine medication and that''s when I had a anaphylaxis reaction . I have an appointment to see a specialist to verify if the reaction was caused by the COVID vaccine or the medication I took that day

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