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

This is VAERS ID 1053047

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Case Details

VAERS ID: 1053047 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Male  
Location: Oklahoma  
Vaccinated:2021-02-19
Onset:2021-02-21
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-02-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK RA / -

Administered by: Public       Purchased by: ?
Symptoms: Laboratory test, Petechiae
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow)

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: Xifacan, Olmesartan, Nadolol, Aspirin 81 mg, Levoxyl, Hydroxychloroquine, Omeprazole, D3 & B12 vitamins
Current Illness: Cirrhosis Diabetes under control without meds or insulin
Preexisting Conditions: Same
Allergies: None
Diagnostic Lab Data: Blood lab test ordered by my hematologist
CDC Split Type:

Write-up: Sudden outbreak of petechiae on both feet Sunday evening after Friday shot


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