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This is VAERS ID 1018731

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History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1018731
VAERS Form:2
Age:34.0
Sex:Female
Location:Massachusetts
Vaccinated:2021-01-11
Onset:2021-01-01
Submitted:0000-00-00
Entered:2021-02-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK9231 / 2 LA / -

Administered by: Private      Purchased by: ??
Symptoms: Abdominal pain, Petechiae, Purpura, Rash

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:
Current Illness:
Preexisting Conditions: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': USPFIZER INC2021070427

Write-up: abdominal pain; rash on legs; Rash continues 1 weeks later with purpura, petechiae with no itching or pain; Rash continues 1 weeks later with purpura, petechiae with no itching or pain; This is a spontaneous report from a contactable 34-year-old female nurse (patient) reported for herself that she received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number=EK9231), via an unspecified route of administration at left arm on 11Jan2021 08:00 AM at single dose for covid-19 immunization. Facility where the most recent COVID-19 vaccine administered was hospital. The patient medical history and concomitant medication was none. Historical vaccine included the first dose of BNT162B2 (lot number=EK5730) on 21Dec2020 08:00 AM at left arm for COVID-19 immunization. Not pregnant at the time of vaccination. On 19Jan2021 12:00 AM, the patient developed abdominal pain and rash on legs; rash continued 1 weeks later with purpura and petechiae (Jan2021) with no itching or pain. Doctor or other healthcare professional office/clinic visit was reported. It was reported as non-serious. Unknown if treatment was received for the events. Outcome of events was not recovered. No other vaccine in four weeks. No covid prior vaccination. No covid tested post vaccination.


Changed on 5/7/2021

VAERS ID: 1018731 Before After
VAERS Form:2
Age:34.0
Sex:Female
Location:Massachusetts
Vaccinated:2021-01-11
Onset:2021-01-01
Submitted:0000-00-00
Entered:2021-02-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK9231 / 2 LA / -

Administered by: Private      Purchased by: ??
Symptoms: Abdominal pain, Petechiae, Purpura, Rash

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:
Current Illness:
Preexisting Conditions: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': USPFIZER INC2021070427

Write-up: abdominal pain; rash on legs; Rash continues 1 weeks later with purpura, petechiae with no itching or pain; Rash continues 1 weeks later with purpura, petechiae with no itching or pain; This is a spontaneous report from a contactable 34-year-old female nurse (patient) reported for herself that she received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number=EK9231), via an unspecified route of administration at left arm on 11Jan2021 08:00 AM at single dose for covid-19 immunization. Facility where the most recent COVID-19 vaccine administered was hospital. The patient medical history and concomitant medication was none. Historical vaccine included the first dose of BNT162B2 (lot number=EK5730) on 21Dec2020 08:00 AM at left arm for COVID-19 immunization. Not pregnant at the time of vaccination. On 19Jan2021 12:00 AM, the patient developed abdominal pain and rash on legs; rash continued 1 weeks later with purpura and petechiae (Jan2021) with no itching or pain. Doctor or other healthcare professional office/clinic visit was reported. It was reported as non-serious. Unknown if treatment was received for the events. Outcome of events was not recovered. No other vaccine in four weeks. No covid prior vaccination. No covid tested post vaccination.


Changed on 5/21/2021

VAERS ID: 1018731 Before After
VAERS Form:2
Age:34.0
Sex:Female
Location:Massachusetts
Vaccinated:2021-01-11
Onset:2021-01-01
Submitted:0000-00-00
Entered:2021-02-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK9231 / 2 LA / -

Administered by: Private      Purchased by: ??
Symptoms: Abdominal pain, Petechiae, Purpura, Rash

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:
Current Illness:
Preexisting Conditions: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: none
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': USPFIZER INC2021070427

Write-up: abdominal pain; rash on legs; Rash continues 1 weeks later with purpura, petechiae with no itching or pain; Rash continues 1 weeks later with purpura, petechiae with no itching or pain; This is a spontaneous report from a contactable 34-year-old female nurse (patient) reported for herself that she received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number=EK9231), via an unspecified route of administration at left arm on 11Jan2021 08:00 AM at single dose for covid-19 immunization. Facility where the most recent COVID-19 vaccine administered was hospital. The patient medical history and concomitant medication was none. Historical vaccine included the first dose of BNT162B2 (lot number=EK5730) on 21Dec2020 08:00 AM at left arm for COVID-19 immunization. Not pregnant at the time of vaccination. On 19Jan2021 12:00 AM, the patient developed abdominal pain and rash on legs; rash continued 1 weeks later with purpura and petechiae (Jan2021) with no itching or pain. Doctor or other healthcare professional office/clinic visit was reported. It was reported as non-serious. Unknown if treatment was received for the events. Outcome of events was not recovered. No other vaccine in four weeks. No covid prior vaccination. No covid tested post vaccination.

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