VAERS ID: 1475166

AGE: 16| SEX: M|STATE: MP

Description

Developed generalized hives on 7/15/21 at 18:00 (78h post second COVID vaccine dose). No respiratory distress, no uvula or lip swelling. Given dose of benadryl 7/16/21 at 09:00 when seen in primary care office with significant improvement in itching. Discharged home with scheduled benadryl until hives resolve. Most likely cause in general is viral/idiopathic but reporting due to timeframe in relation to second COVID vaccine.

Symptoms

Pruritus, Urticaria

Vaccines

VAX DATE: 07-12-2021| ONSET DATE: 07-15-2021| DAYS TO ONSET: 3
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH EW0168 IM LA

RECVDATE:07-15-2021
RPT_DATE:
CAGE_YR:16
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:U
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:none
V_ADMINBY:PVT
OTHER_MEDS:none
CUR_ILL:none
HISTORY:none
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:2
TODAYS_DATE:07-15-2021
BIRTH_DEFECT:U
OFC_VISIT:Y
ER_ED_VISIT:U
ALLERGIES:none known
V_FUNDBY:

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