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This is VAERS ID 1243504

History of Changes from the VAERS Wayback Machine

First Appeared on 5/7/2021

VAERS ID: 1243504
VAERS Form:2
Age:48.0
Sex:Female
Location:Texas
Vaccinated:2021-04-11
Onset:2021-04-19
Submitted:0000-00-00
Entered:2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (UNKNOWN)) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Rash, Rash macular

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Tylenol
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Lots of red splotches on lower legs, looks like rash


Changed on 5/14/2021

VAERS ID: 1243504 Before After
VAERS Form:2
Age:48.0
Sex:Female
Location:Texas
Vaccinated:2021-04-11
Onset:2021-04-19
Submitted:0000-00-00
Entered:2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (UNKNOWN)) / UNKNOWN MANUFACTURER - / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Rash, Rash macular

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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Tylenol
Current Illness: None
Preexisting Conditions: None
Allergies: None None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Lots of red splotches on lower legs, looks like rash

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1243504&WAYBACKHISTORY=ON


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