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This is VAERS ID 1018248

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History of Changes from the VAERS Wayback Machine

First Appeared on 5/21/2021

VAERS ID: 1018248
VAERS Form:2
Age:29.0
Sex:Male
Location:Oklahoma
Vaccinated:2020-12-21
Onset:2020-12-29
Submitted:0000-00-00
Entered:2021-02-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Blood lactate dehydrogenase normal, Blood thyroid stimulating hormone normal, Full blood count normal, Gingival bleeding, Haptoglobin normal, Lipids normal, Platelet count decreased, Thrombocytopenia, Vitamin B12 normal, Metabolic function test normal, Hepatitis C test negative

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None.
Current Illness: None known.
Preexisting Conditions: None.
Allergies: None known.
Diagnostic Lab Data: Labs drawn on 12/29/20 showed platelets low at 41k and were otherwise normal (other CBC cell lines, CMP, lipids, TSH, hep C). Labs drawn on 1/18/21 showed platelets low but improved at 97k. Rest of CBC within normal limits. LDH, haptoglobin, B12 all within normal limits.
CDC 'Split Type':

Write-up: Gum bleeding and thrombocytopenia (platelets 41k) found on lab drawn one week after first dose of vaccine.

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