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This is VAERS ID 1228597

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1228597
VAERS Form:2
Age:40.0
Sex:Male
Location:Puerto Rico
Vaccinated:2021-04-10
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 031A21A / 2 LA / SYR

Administered by: Military      Purchased by: ??
Symptoms: Lymphadenopathy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: PERCOCET
Diagnostic Lab Data: N/.A
CDC 'Split Type':

Write-up: PATIENT WITH FOLLICULITIS, CURRENTLY TAKING CIPROFLOXACIN 1 DAY IN EVALUATION AS PRESCRIBED BY HIS PCP. MILD LYMPHADENOPATHY,NO DISTRESS, NO URTICARIAL RASH, NO FACIAL OR ORAL MUCOSA SWELLING, NO DISTRESS, PT DISCHARGED HOME WITH FOLLOW UP WITH PCP


Changed on 5/7/2021

VAERS ID: 1228597 Before After
VAERS Form:2
Age:40.0
Sex:Male
Location:Puerto Rico
Vaccinated:2021-04-10
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 031A21A / 2 LA / SYR

Administered by: Military      Purchased by: ??
Symptoms: Lymphadenopathy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: PERCOCET PERCOCET
Diagnostic Lab Data: N/.A
CDC 'Split Type':

Write-up: PATIENT WITH FOLLICULITIS, CURRENTLY TAKING CIPROFLOXACIN 1 DAY IN EVALUATION AS PRESCRIBED BY HIS PCP. MILD LYMPHADENOPATHY,NO DISTRESS, NO URTICARIAL RASH, NO FACIAL OR ORAL MUCOSA SWELLING, NO DISTRESS, PT DISCHARGED HOME WITH FOLLOW UP WITH PCP


Changed on 5/14/2021

VAERS ID: 1228597 Before After
VAERS Form:2
Age:40.0
Sex:Male
Location:Puerto Rico
Vaccinated:2021-04-10
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 031A21A / 2 LA / SYR

Administered by: Military      Purchased by: ??
Symptoms: Lymphadenopathy

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: PERCOCET PERCOCET
Diagnostic Lab Data: N/.A
CDC 'Split Type':

Write-up: PATIENT WITH FOLLICULITIS, CURRENTLY TAKING CIPROFLOXACIN 1 DAY IN EVALUATION AS PRESCRIBED BY HIS PCP. MILD LYMPHADENOPATHY,NO DISTRESS, NO URTICARIAL RASH, NO FACIAL OR ORAL MUCOSA SWELLING, NO DISTRESS, PT DISCHARGED HOME WITH FOLLOW UP WITH PCP

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1228597&WAYBACKHISTORY=ON


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