VAERS ID: 1708046

AGE: 38| SEX: F|STATE: OR (United States)

Description

Patient reports large, wide-spread, pruritic hives about 10 minutes after the injection. She had no other symptoms. She self-treated with and old prescription for prednisone intermittently for about 12 days.

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Symptoms

Urticaria, Pruritus

Vaccines

VAX DATE: 09-03-2021| ONSET DATE: 09-03-2021| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 0 COVID19 PFIZER\BIONTECH Unknown Unknown

RECVDATE:09-17-2021
RPT_DATE:
CAGE_YR:38
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:Y
LAB_DATA:None.
V_ADMINBY:PVT
OTHER_MEDS:Dicyclomine; Cyclobenzaprine; Lisinopril; Albuterol; Ibuprofen.
CUR_ILL:Recent COVID infection.
HISTORY:Hypertension; Thrombocytosis; Mild intermittent asthma; Depression; Dyslipidemia; Migraine with aura; Chronic hives.
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:09-17-2021
BIRTH_DEFECT:U
OFC_VISIT:Y
ER_ED_VISIT:U
ALLERGIES:Medroxyprogesterone; Adhesive tape; Aripiprazole; Estradiol-testosterone; Latex; Lithium; Oxycodone; Transparent dressings; Quetiapine; Ziprasidone.
V_FUNDBY:

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