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VAERS ID: 2315264

AGE: 67| SEX: F|State: CT

Description

Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Additional Details: friend came in with a picture of her arm. it was red, spotchy and blistered. recommended pt go to urgent care or er in case of cellulitus

Symptoms

Injection site erythema, Injection site pain, Injection site swelling, Injection site vesicles

Vaccines

VAX DATE: 01 June 2022 | ONSET DATE: 03 June 2022 | DAYS TO ONSET: 2
Vaccine TypeManufacturerVaccine NameDoseRouteSiteLot
  • COVID19
  • PFIZERBIONTECH
  • COVID19 (COVID19 (PFIZER-BIONTECH))
  • UNK
  • SYR
  • LA
  • fp4554

RECVDATE:09 June 2022
CAGE_YR:67
CAGE_MO:
RPT_DATE:
DIED:
DATEDIED:
L_THREAT:
ER_VISIT:
HOSPITAL:
HOSPDAYS:
X_STAY:
DISABLE:
RECOVD:U
LAB_DATA:
V_ADMINBY:PHM
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:2
TODAYS_DATE:09 June 2022
BIRTH_DEFECT:
OFC_VISIT:
ER_ED_VISIT:
ALLERGIES:
V_FUNDBY:
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