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This is VAERS ID 1265957

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1265957
VAERS Form:2
Age:
Sex:Female
Location:Unknown
Vaccinated:2021-04-09
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Rash, Road traffic accident

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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': USPFIZER INC2021406021

Write-up: developed rashes from neck down to her feet; car accident; This is a spontaneous report from a contactable consumer (patient). A 20-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE) (lot number/expiration date: not provided), via an unspecified route of administration, on 09Apr2021 as a single dose for COVID-19 IMMUNIZATION. Co-suspect included muscle relaxant. Relevant medical history and concomitant medication were not provided. On 11Apr2021, the patient experienced a car accident and was prescribed a muscle relaxant. On 13Apr2021, the patient experienced developed rashes from neck down to her feet. The patient was asking if this was vaccine related or from the muscle relaxant that she took. Treatment received for the event car accident included a muscle relaxant. The outcome of the events car accident and rash was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.


Changed on 5/7/2021

VAERS ID: 1265957 Before After
VAERS Form:2
Age:
Sex:Female
Location:Unknown
Vaccinated:2021-04-09
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Rash, Road traffic accident

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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': USPFIZER INC2021406021

Write-up: developed rashes from neck down to her feet; car accident; This is a spontaneous report from a contactable consumer (patient). A 20-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE) (lot number/expiration date: not provided), via an unspecified route of administration, on 09Apr2021 as a single dose for COVID-19 IMMUNIZATION. Co-suspect included muscle relaxant. Relevant medical history and concomitant medication were not provided. On 11Apr2021, the patient experienced a car accident and was prescribed a muscle relaxant. On 13Apr2021, the patient experienced developed rashes from neck down to her feet. The patient was asking if this was vaccine related or from the muscle relaxant that she took. Treatment received for the event car accident included a muscle relaxant. The outcome of the events car accident and rash was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.


Changed on 5/14/2021

VAERS ID: 1265957 Before After
VAERS Form:2
Age:
Sex:Female
Location:Unknown
Vaccinated:2021-04-09
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Rash, Road traffic accident

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:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': USPFIZER INC2021406021

Write-up: developed rashes from neck down to her feet; car accident; This is a spontaneous report from a contactable consumer (patient). A 20-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE) (lot number/expiration date: not provided), via an unspecified route of administration, on 09Apr2021 as a single dose for COVID-19 IMMUNIZATION. Co-suspect included muscle relaxant. Relevant medical history and concomitant medication were not provided. On 11Apr2021, the patient experienced a car accident and was prescribed a muscle relaxant. On 13Apr2021, the patient experienced developed rashes from neck down to her feet. The patient was asking if this was vaccine related or from the muscle relaxant that she took. Treatment received for the event car accident included a muscle relaxant. The outcome of the events car accident and rash was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

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