VAERS ID: 2091925

AGE: 8| SEX: F|STATE: AZ

Description

My daughter experienced body aches with headache and low grade fever for 24 hours. She also had mild nausea. She had a very sore right arm with lymphadenopathy and today, about a week later, she has a raised itchy bump at injection site which looks like a hive.

Symptoms

Headache, Injection site pruritus, Injection site swelling, Injection site urticaria, Lymphadenopathy, Nausea, Pain, Pain in extremity, Pyrexia

Vaccines

VAX DATE: 01-31-2022| ONSET DATE: 02-01-2022| DAYS TO ONSET: 1
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH IM LA

RECVDATE:02-06-2022
RPT_DATE:
CAGE_YR:8
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:U
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:Y
LAB_DATA:None
V_ADMINBY:
OTHER_MEDS:None
CUR_ILL:None
HISTORY:None
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:2
TODAYS_DATE:02-06-2022
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:None
V_FUNDBY:

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