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From the 1/14/2022 release of VAERS data:

This is VAERS ID 1020985

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Case Details

VAERS ID: 1020985 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Male  
Location: Massachusetts  
Vaccinated:2021-02-05
Onset:2021-02-09
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-02-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 012M20A / 2 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Erythema, Fatigue, Flushing, Petechiae, Rash
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Flo-Vent, MVI, omeprazole, Claratin
Current Illness: None
Preexisting Conditions: Asthma
Allergies: NKA
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Body wide rash with redness of the skin and petechiae on the lower extremities. Additionally, feeling flushed and fatigued.


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