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From the 10/8/2021 release of VAERS data:

This is VAERS ID 1142666



Case Details

VAERS ID: 1142666 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Male  
Location: California  
Vaccinated:2020-12-20
Onset:2020-12-26
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-03-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1686A / 2 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Alopecia, Alopecia areata, Alopecia universalis, Blood creatinine increased, Blood testosterone normal, Blood thyroid stimulating hormone decreased, Depression, Eye irritation, Foreign body sensation in eyes, Glomerular filtration rate normal, Haematocrit normal, Haemoglobin normal, Laboratory test, Lacrimation increased, Nasal congestion, Nasal discomfort, Platelet count normal, Throat irritation, Vitamin D, White blood cell count normal
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (broad), Retroperitoneal fibrosis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Corneal disorders (broad), Hypothyroidism (broad), Hyperthyroidism (broad), Depression (excl suicide and self injury) (narrow), Lacrimal disorders (narrow), Chronic kidney disease (broad), Tumour lysis syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin D 1000 IU, TUMS otc as needed, Famotidine 20 mg as needed.
Current Illness: GERD, ED
Preexisting Conditions: GERD, ED, DORSALGIA, LEFT FROZEN SHOULDER, LIVER ABSCESS, BELL''S PALSY, AND COLD SORES / LIPS
Allergies: NKDA
Diagnostic Lab Data: LABS 1-29-2021 TSH 1.42 VITA D 25 WBC 5.5 HGB 15.9 HCT 46% PLT 251 EGFR 69 CR 1.21 TESTOSTERONE 471 03-20-2021
CDC Split Type:

Write-up: ALOPECIA AREATA UNIVERSALIS: I have complete hair loss of my entire body. Head/ scalp, eyebrows, eye lashes, nose hairs, mustache, some armpits, chest hair, pubic/ groin hair, arm/ legs. 1. DEPRESSION/ sadness with no head/ scalp hair, eyebrows, eyelashes. Dramatic change of identity. I am BALD and my family/ friends/ patients think I have cancer b/c I have a CHEMO HEAD/ SCALP. 2. EYES/ NOSE/ THROAT irritation due to NOT having eyelashes or nose hairs. Watery eyes/ eye sensitivity due to dust/ environament, nasal congestion and irritation due to NO nose hairs. Time: 1st injection Dec 20, 2020 noticed some hair loss but after 2nd dose Jan 8, 2021 -$g ALL HAIR GONE AFTER 1 WEEK. HAD PRIMARY CARE PHONE CALL JAN 27, 2021 TO REPORT W/ LABS (SEE BELOW) AND EARLIEST APPT WITH DERMATOLOGIST Feb 8, 2021: DX of alopecia areata universalis . TREATMENT AND STILL ON TREATMENT: 1. VITAMIN D2 1250 MCG WEEKLY, 2. 300 MG PREDNISONE PO EVERY 30 DAYS, ALLEGRA 120 MG DAILY, MINOXIDIL 5% TWICE DAILY


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