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This is VAERS ID 1246362

History of Changes from the VAERS Wayback Machine

First Appeared on 5/7/2021

VAERS ID: 1246362
VAERS Form:2
Age:63.0
Sex:Male
Location:Unknown
Vaccinated:2021-04-09
Onset:2021-04-19
Submitted:0000-00-00
Entered:2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 030B21A / 2 LA / SYR

Administered by: Public      Purchased by: ??
Symptoms: Injection site bruising, Pain, Thrombocytopenia, Contusion, Skin haemorrhage

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:
Diagnostic Lab Data: thrombocytopenia
CDC 'Split Type':

Write-up: bruising - 2 days after second dose , soreness, bleeding while shaving, injection site 5cm bruise


Changed on 5/14/2021

VAERS ID: 1246362 Before After
VAERS Form:2
Age:63.0
Sex:Male
Location:Unknown
Vaccinated:2021-04-09
Onset:2021-04-19
Submitted:0000-00-00
Entered:2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 030B21A / 2 LA / SYR

Administered by: Public      Purchased by: ??
Symptoms: Injection site bruising, Pain, Thrombocytopenia, Contusion, Skin haemorrhage

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:
Diagnostic Lab Data: thrombocytopenia
CDC 'Split Type':

Write-up: bruising - 2 days after second dose , soreness, bleeding while shaving, injection site 5cm bruise

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1246362&WAYBACKHISTORY=ON


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