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This is VAERS ID 1011707

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History of Changes from the VAERS Wayback Machine

First Appeared on 2/18/2021

VAERS ID: 1011707
VAERS Form:2
Age:31.0
Sex:Female
Location:Illinois
Vaccinated:2021-01-26
Onset:2021-01-28
Submitted:0000-00-00
Entered:2021-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3249 / 2 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Activated partial thromboplastin time, Blood fibrinogen, Blood magnesium, Epistaxis, Full blood count, International normalised ratio, Petechiae, Metabolic function test, SARS-CoV-2 test

Life Threatening? Yes
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)? Yes
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Prenatal vitamin, Mucinex D, and Vit, D
Current Illness:
Preexisting Conditions: Thrombocytopenia, unspecified
Allergies: Spironolactone ITCHING Rituximab
Diagnostic Lab Data: covid test, fibrinogen, INR, PTT, magnesium, CBC, CMP
CDC 'Split Type':

Write-up: Bloody mucus when blowing nose, petechia on legs 1/29/21.


Changed on 5/7/2021

VAERS ID: 1011707 Before After
VAERS Form:2
Age:31.0
Sex:Female
Location:Illinois
Vaccinated:2021-01-26
Onset:2021-01-28
Submitted:0000-00-00
Entered:2021-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3249 / 2 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Activated partial thromboplastin time, Blood fibrinogen, Blood magnesium, Epistaxis, Full blood count, International normalised ratio, Petechiae, Metabolic function test, SARS-CoV-2 test

Life Threatening? Yes
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)? Yes
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Prenatal vitamin, Mucinex D, and Vit, D
Current Illness:
Preexisting Conditions: Thrombocytopenia, unspecified
Allergies: Spironolactone ITCHING Rituximab Rituximab
Diagnostic Lab Data: covid test, fibrinogen, INR, PTT, magnesium, CBC, CMP
CDC 'Split Type':

Write-up: Bloody mucus when blowing nose, petechia on legs 1/29/21.


Changed on 5/21/2021

VAERS ID: 1011707 Before After
VAERS Form:2
Age:31.0
Sex:Female
Location:Illinois
Vaccinated:2021-01-26
Onset:2021-01-28
Submitted:0000-00-00
Entered:2021-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3249 / 2 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Activated partial thromboplastin time, Blood fibrinogen, Blood magnesium, Epistaxis, Full blood count, International normalised ratio, Petechiae, Metabolic function test, SARS-CoV-2 test

Life Threatening? Yes
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)? Yes
Hospitalized? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Prenatal vitamin, Mucinex D, and Vit, D
Current Illness:
Preexisting Conditions: Thrombocytopenia, unspecified
Allergies: Spironolactone ITCHING Rituximab Rituximab
Diagnostic Lab Data: covid test, fibrinogen, INR, PTT, magnesium, CBC, CMP
CDC 'Split Type':

Write-up: Bloody mucus when blowing nose, petechia on legs 1/29/21.

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