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From the 6/4/2021 release of VAERS data:

This is VAERS ID 1228664



Case Details

VAERS ID: 1228664 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Male  
Location: Ohio  
Vaccinated:2021-04-01
Onset:2021-04-11
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 038A21A / 1 RA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Rash
SMQs:, Anaphylactic reaction (broad), 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? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Scheduling dr appointment now.
CDC Split Type:

Write-up: Rash that resembles chicken pox on chest, torso, legs. Not very itchy. Started about 10 days after shot. Has continued to spread for 8-10 days.


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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1228664


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