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VAERS ID: 2091925

AGE: 8| SEX: F|State: AZ

Description

My daughter experienced body aches with headache and low grade fever for 24 hours. She also had mild nausea. She had a very sore right arm with lymphadenopathy and today, about a week later, she has a raised itchy bump at injection site which looks like a hive.

Symptoms

Headache, Nausea, Injection site pruritus, Pain, Injection site swelling, Pain in extremity, Injection site urticaria, Pyrexia, Lymphadenopathy

Vaccines

VAX DATE: 30 January 2022 | ONSET DATE: 31 January 2022 | DAYS TO ONSET: 1
Vaccine TypeManufacturerVaccine NameDoseRouteSiteLot
  • COVID19
  • PFIZERBIONTECH
  • COVID19 (COVID19 (PFIZER-BIONTECH))
  • 2
  • IM
  • LA

RECVDATE:05 February 2022
CAGE_YR:8
CAGE_MO:
RPT_DATE:
DIED:
DATEDIED:
L_THREAT:
ER_VISIT:
HOSPITAL:
HOSPDAYS:
X_STAY:
DISABLE:
RECOVD:Y
LAB_DATA:None
V_ADMINBY:UNK
OTHER_MEDS:None
CUR_ILL:None
HISTORY:None
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:2
TODAYS_DATE:05 February 2022
BIRTH_DEFECT:
OFC_VISIT:
ER_ED_VISIT:
ALLERGIES:None
V_FUNDBY:
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