From the 4/26/2024 release of VAERS data:

This is VAERS ID 902991

Government Disclaimer on use of this data

Case Details

VAERS ID:	902991 (history)
Form:	Version 2.0
Age:	37.0
Sex:	Female
Location:	Ohio

Vaccinated:	2020-12-16
Onset:	2020-12-16
Days after vaccination:	0
Submitted:	0000-00-00
Entered:	2020-12-17

Vaccination / Manufacturer	Lot / Dose	Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH	EK5730 / 1	UN / IM

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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Augmentin - Sweilling
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: rash - treatment: acetaminophen and diphenhydramine

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=902991