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This is VAERS ID 1259705

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1259705
VAERS Form:2
Age:60.0
Sex:Female
Location:Illinois
Vaccinated:2021-04-12
Onset:2021-04-12
Submitted:0000-00-00
Entered:2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (UNKNOWN)) / UNKNOWN MANUFACTURER 201A21A / 1 RA / SYR

Administered by: Public      Purchased by: ??
Symptoms: Injection site haemorrhage, Pain in extremity, Swelling, Contusion, Induration

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Amnestic MCI
Allergies: Codiene, seafood, Clinimyicine
Diagnostic Lab Data: Follow up with doctor 4/26. Steroid shot and strong antibiotics given
CDC 'Split Type':

Write-up: Extreme swelling 2 weeks after vaccine. A lot of bruising. Left hard very sore size of quarter place on right arm. Blood a lot when injection was done.


Changed on 5/7/2021

VAERS ID: 1259705 Before After
VAERS Form:2
Age:60.0
Sex:Female
Location:Illinois
Vaccinated:2021-04-12
Onset:2021-04-12
Submitted:0000-00-00
Entered:2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (UNKNOWN)) / UNKNOWN MANUFACTURER 201A21A / 1 RA / SYR

Administered by: Public      Purchased by: ??
Symptoms: Injection site haemorrhage, Pain in extremity, Swelling, Contusion, Induration

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Amnestic MCI
Allergies: Codiene, seafood, Clinimyicine Clinimyicine
Diagnostic Lab Data: Follow up with doctor 4/26. Steroid shot and strong antibiotics given
CDC 'Split Type':

Write-up: Extreme swelling 2 weeks after vaccine. A lot of bruising. Left hard very sore size of quarter place on right arm. Blood a lot when injection was done.


Changed on 5/14/2021

VAERS ID: 1259705 Before After
VAERS Form:2
Age:60.0
Sex:Female
Location:Illinois
Vaccinated:2021-04-12
Onset:2021-04-12
Submitted:0000-00-00
Entered:2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (UNKNOWN)) / UNKNOWN MANUFACTURER 201A21A / 1 RA / SYR

Administered by: Public      Purchased by: ??
Symptoms: Injection site haemorrhage, Pain in extremity, Swelling, Contusion, Induration

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Amnestic MCI
Allergies: Codiene, seafood, Clinimyicine Clinimyicine
Diagnostic Lab Data: Follow up with doctor 4/26. Steroid shot and strong antibiotics given
CDC 'Split Type':

Write-up: Extreme swelling 2 weeks after vaccine. A lot of bruising. Left hard very sore size of quarter place on right arm. Blood a lot when injection was done.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1259705&WAYBACKHISTORY=ON


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