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From the 1/7/2022 release of VAERS data:

This is VAERS ID 1038386

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Case Details

VAERS ID: 1038386 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Male  
Location: New Mexico  
Vaccinated:2021-01-05
Onset:2021-01-12
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-02-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025L20A / 1 RA / IM

Administered by: Senior Living       Purchased by: ?
Symptoms: Contusion, Full blood count normal, International normalised ratio normal, Liver function test, Metabolic function test, Petechiae, Rash macular
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Accidents and injuries (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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Nexium, allopurinol, Crestor, Benicar,
Current Illness: None
Preexisting Conditions: HTN, Hyperlipidemia, GERD, Gout
Allergies: Lisinopril
Diagnostic Lab Data: CBC,PT/INR, BMP, Liver panel around 2/21/21. All reported normal labs
CDC Split Type:

Write-up: about 7 to 10 days after Moderna shot, started to notice some petechia spots around both feet and working up legs. 10 days after spots started to developed on both forearms. Went to clinic and they did lab work-up to include PT/INR. CBC, BMP etc. all labs normal. Spots continued to grow with some starting to look like large healing bruising, nut never went away. Received second moderna shot on 2/2/21 and about 5 to 7 days after shot noticed an increase in blotchy spots to both legs and arms. I then had a visit with Dr. who ordered steroid cream, which had no effect on areas and was given referral to a dermatologist. Spots then started to run from wrist on both arms up to biceps and from feet on both legs up to mid-thigh. I then start to have spots start on abdomen and in groin area. With some spots looking to irregular ringworm type marks. Dermatologist appointment was cancelled due to weather.


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