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Report #2905121

Received Jul 29, 2026

Life-threateningER / ED visitOffice visitDisabled
A note on interpretation. VAERS reports are unverified and may be incomplete or coincidental. A report does not establish that a vaccine caused an event, and counts should not be used to calculate incidence or infer causation. Full disclaimer

Overview

Sex
Female
Age
69 yrs
State
FL
Recovered
Not recovered
Vaccinated
Jan 11, 2021
Onset
Apr 1, 2021
Days to onset
80
Hospital days

Vaccines (2)

TypeNameManufacturerDoseLotRoute / Site
COVID19COVID19 (COVID19 (PFIZER-BIONTECH))PFIZER\BIONTECH2EN6198SYR / RA
COVID19COVID19 (COVID19 (PFIZER-BIONTECH))PFIZER\BIONTECH2ER8737SYR / RA

Symptoms (6)

Aspiration bone marrowGenetic testingInfectious mononucleosisMast cell activation syndromePolymyalgia rheumaticaTryptase

Symptom narrative

Developed Mast Cell Activation Disease and Polymyalgia Rheumatica Treatment Xolair 300mg shot every 4 weeks Cromolyn Sodium Oral Solution 100mg/5ml,2 pepcid ac daily, 2 prilosec daily, 2 zyrtec daily, Montelukast 1 a day, Diclofenac Sodium 25mg DR 2 a day.

Current illness

Fibromyalgia

Medical history

None

Other medications

HBP, Diuretic, Nortriptyline

Allergies

nka

Lab data

DNA test for L Alpha Tryptasemia gene, Bone Marrow test, blood tests for tryptase levels, reactivation of Mononeucleosis virus.