VAERS ID: 1775774

AGE: 15| SEX: F|STATE: WI (United States)

Description

On October 4th after the 2nd shot, my daughter experienced a sever allergy attack from possibly chocolate. She has never had an allergy before. It happened again on October 8th. We have now restricted her from having chocolate and we scheduled a doctors appointment for Friday to discuss with our pediatrician.

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Symptoms

Hypersensitivity

Vaccines

VAX DATE: 09-11-2021| ONSET DATE: 10-04-2021| DAYS TO ONSET: 23
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH FF2588 SYR

RECVDATE:10-10-2021
RPT_DATE:
CAGE_YR:15
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:Y
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:Y
LAB_DATA:None to date. We have ac doctors appointment on Friday, 10/15.
V_ADMINBY:PHM
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:10-10-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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