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This is VAERS ID 1036489

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History of Changes from the VAERS Wayback Machine

First Appeared on 5/7/2021

VAERS ID: 1036489
VAERS Form:2
Age:41.0
Sex:Female
Location:New York
Vaccinated:2021-02-04
Onset:2021-02-05
Submitted:0000-00-00
Entered:2021-02-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / SYR

Administered by: Work      Purchased by: ??
Symptoms: Cold sweat, Fatigue, Headache, Injection site pain, Pain, Petechiae, Platelet count decreased, Thrombocytopenia

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:
Current Illness:
Preexisting Conditions: ITP
Allergies:
Diagnostic Lab Data: 2/4/2021 - Platelets 156K on day of vaccine 2/8/2021 - Platelets at 56K four days later
CDC 'Split Type':

Write-up: Thrombocytopenia. Platelets went from 175K day of vaccine to 56K four days later. Petechiae on feet and legs morning after vaccine. Additionally, cold sweats overnight. Woke up with headache, body aches and extreme fatigue, as well as injection site soreness.


Changed on 5/21/2021

VAERS ID: 1036489 Before After
VAERS Form:2
Age:41.0
Sex:Female
Location:New York
Vaccinated:2021-02-04
Onset:2021-02-05
Submitted:0000-00-00
Entered:2021-02-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / SYR

Administered by: Work      Purchased by: ??
Symptoms: Cold sweat, Fatigue, Headache, Injection site pain, Pain, Petechiae, Platelet count decreased, Thrombocytopenia

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:
Current Illness:
Preexisting Conditions: ITP
Allergies:
Diagnostic Lab Data: 2/4/2021 - Platelets 156K on day of vaccine 2/8/2021 - Platelets at 56K four days later
CDC 'Split Type':

Write-up: Thrombocytopenia. Platelets went from 175K day of vaccine to 56K four days later. Petechiae on feet and legs morning after vaccine. Additionally, cold sweats overnight. Woke up with headache, body aches and extreme fatigue, as well as injection site soreness.

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