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This is VAERS ID 1019805

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History of Changes from the VAERS Wayback Machine

First Appeared on 5/7/2021

VAERS ID: 1019805
VAERS Form:2
Age:70.0
Sex:Female
Location:New York
Vaccinated:2021-02-08
Onset:2021-02-09
Submitted:0000-00-00
Entered:2021-02-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Pharmacy      Purchased by: ??
Symptoms: Purpura

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Multi Vitamins, magnesium, potassium, calcium, Vit D,E,C - glucosamine chondroitin, probiotic These have been taken for a long time with no adverse effects
Current Illness: None
Preexisting Conditions: None
Allergies: Penicilliin
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: A purplish spot developed at the corner of my lower lop. Looks like a purpura (?) About 8mm in length. NOT raised, NO soreness


Changed on 5/21/2021

VAERS ID: 1019805 Before After
VAERS Form:2
Age:70.0
Sex:Female
Location:New York
Vaccinated:2021-02-08
Onset:2021-02-09
Submitted:0000-00-00
Entered:2021-02-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Pharmacy      Purchased by: ??
Symptoms: Purpura

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Multi Vitamins, magnesium, potassium, calcium, Vit D,E,C - glucosamine chondroitin, probiotic These have been taken for a long time with no adverse effects
Current Illness: None
Preexisting Conditions: None
Allergies: Penicilliin Penicilliin
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: A purplish spot developed at the corner of my lower lop. Looks like a purpura (?) About 8mm in length. NOT raised, NO soreness

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1019805&WAYBACKHISTORY=ON


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