From the 5/31/2024 release of VAERS data:

This is VAERS ID 912826

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Case Details

VAERS ID:	912826 (history)
Form:	Version 2.0
Age:	57.0
Sex:	Female
Location:	California

Vaccinated:	2020-12-28
Onset:	2020-12-28
Days after vaccination:	0
Submitted:	0000-00-00
Entered:	2020-12-29

Vaccination / Manufacturer	Lot / Dose	Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH	EJ1685 / 1	RA / IM

Administered by: Private Purchased by: ?
Symptoms: Cough, Pruritus
SMQs:, Anaphylactic reaction (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: unknown
Preexisting Conditions: asthma, HTN
Allergies: unknown
Diagnostic Lab Data:
CDC Split Type:

Write-up: Itching, cough. Given benadryl 50mg and epinephrine 0.3 in vaccine clinic, and taken to ED for further tx.

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