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VAERS ID: | 903118 |
VAERS Form: | 2 |
Age: | 39.0 |
Sex: | Female |
Location: | North Carolina |
Vaccinated: | 2020-12-16 |
Onset: | 2020-12-17 |
Submitted: | 0000-00-00 |
Entered: | 2020-12-17 |
Vaccination / Manufacturer (1 vaccine) | Lot / Dose | Site / Route |
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH | EK5730 / 1 | LA / IM |
Administered by: Work Purchased by: ??
Symptoms: Headache, Injection site rash, Nausea, Rash, Vomiting
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: n/a
Current Illness: n/a
Preexisting Conditions: gastric by-pass
Allergies: azithromycin, pepcid
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Patient came to workplace clinic 12/17 @ 1215 saying she had a reaction to the COVID vaccination. She stated she took ibuprofen in the morning for the headache, however, rash was still present. N/V on 12/16 at night. Patient reported no throat swelling or SOB. Rash on injection site (left) arm and chest. Patient received Benadryl 50 mg po x 1 dose and Tylenol 500 mg po x 1 dose. After Benadryl and Tylenol, patient felt better and was able to go back to work. recommended to go home and rest.
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