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This is VAERS ID 1000813

History of Changes from the VAERS Wayback Machine

First Appeared on 3/5/2021

VAERS ID: 1000813
VAERS Form:2
Age:38.0
Sex:Male
Location:Unknown
Vaccinated:2020-12-30
Onset:2020-12-31
Submitted:0000-00-00
Entered:2021-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Purpura, Rash, Skin discolouration

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: unknown
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Rash, Purpura, "Spotty skin discoloration (slight reddish/purple color) down the arm L $g R, Pain at injection site"


Changed on 5/7/2021

VAERS ID: 1000813 Before After
VAERS Form:2
Age:38.0
Sex:Male
Location:Unknown
Vaccinated:2020-12-30
Onset:2020-12-31
Submitted:0000-00-00
Entered:2021-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Purpura, Rash, Skin discolouration

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: unknown
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Rash, Purpura, "Spotty skin discoloration (slight reddish/purple color) down the arm L $g R, Pain at injection site"


Changed on 5/14/2021

VAERS ID: 1000813 Before After
VAERS Form:2
Age:38.0
Sex:Male
Location:Unknown
Vaccinated:2020-12-30
Onset:2020-12-31
Submitted:0000-00-00
Entered:2021-01-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Purpura, Rash, Skin discolouration

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: unknown
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Rash, Purpura, "Spotty skin discoloration (slight reddish/purple color) down the arm L $g R, Pain at injection site"

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1000813&WAYBACKHISTORY=ON

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