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VAERS ID: 1753043

AGE: 67| SEX: F|State: IN

Description

1. Mild injection site soreness lasting about 51 hours. It did not impair my functioning, from 4 hours to 51 hours after dose..2. 2. Small (2-3 cm by 8-10 cm) skin erythema near injection site, onset about 4 hours after, ending about 48 hours after dose. Neither side effect required treatment. Spontaneous resolution od both adverse events.

Symptoms

Immunisation, Injection site erythema, Injection site pain

Vaccines

VAX DATE: 28 September 2021 | ONSET DATE: 29 September 2021 | DAYS TO ONSET: 1
Vaccine TypeManufacturerVaccine NameDoseRouteSiteLot
  • COVID19
  • PFIZERBIONTECH
  • COVID19 (COVID19 (PFIZER-BIONTECH))

        RECVDATE:
        01 October 2021
        CAGE_YR:
        67
        CAGE_MO:
        RPT_DATE:
        DIED:
        DATEDIED:
        L_THREAT:
        ER_VISIT:
        HOSPITAL:
        HOSPDAYS:
        X_STAY:
        DISABLE:
        RECOVD:
        Y
        LAB_DATA:
        None required or performed.
        V_ADMINBY:
        OTH
        OTHER_MEDS:
        Levothyroxine 75 mcg/d, calcium carbonate 1600 mg/day, vitamin D3 90 mcg/day, flaxseed oil, 1000 mg/d, Aspirin 81 mg/d.
        CUR_ILL:
        None
        HISTORY:
        1. Mild left body muscular weakness from remote (2002) right brain radiation. 2. Treated Hashimoto's thyroiditis (in remission) with secondary (treated) hypothyroidism
        PRIOR_VAX:
        Severe arm swelling, erythema, pruritis from injfluenza vaccine, autumn 2020
        SPLTTYPE:
        FORM_VERS:
        2
        TODAYS_DATE:
        01 October 2021
        BIRTH_DEFECT:
        OFC_VISIT:
        ER_ED_VISIT:
        ALLERGIES:
        allergic to Septra/Bactrim (sulphamethoxizole/trimethoprim)
        V_FUNDBY:
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