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

This is VAERS ID 942459

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Case Details

VAERS ID: 942459 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: Arizona  
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-01-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: ?
Symptoms: Anaphylactic reaction, Chills, Fatigue, Full blood count, Lymphadenopathy, Pain in extremity, Pruritus, Rash, Urticaria
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Anaphylactic/anaphylactoid shock conditions (narrow), Hypersensitivity (narrow), Tendinopathies and ligament disorders (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Fish oil, Montelukast, Pravastatin, Levothyroxin, Lorazepam. Florastor, Vitamin D3, baby ASA, Ocuvite,
Current Illness: bladder infection and oral cold sore
Preexisting Conditions: Hashimoto''s thyroiditis, asthma, Menierre''s disease,
Allergies: Bactrim, Cipro, Cantaloupe, and pineapple
Diagnostic Lab Data: CBC 1/12/21
CDC Split Type:

Write-up: 1st 24 hrs just arm soreness, 2nd 24 hrs itching and fatigue, 48 hrs, anaphylaxis, hives, rash, itching, lymph swelling, chills

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