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This is VAERS ID 1317250

History of Changes from the VAERS Wayback Machine

First Appeared on 5/21/2021

VAERS ID: 1317250
VAERS Form:2
Age:39.0
Sex:Male
Location:California
Vaccinated:2021-05-03
Onset:2021-05-04
Submitted:0000-00-00
Entered:2021-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN 205A21A / 1 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Rash maculo-papular

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: none
Current Illness: None
Preexisting Conditions: none
Allergies: NKDA
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: maculopapular rash on arms, legs and trunk when evaluated on 5/11/21 and 5/14/21 Symptomatic treatment started 5/12/21 with benadryl and hydrocortisone no improvement per patient when seen on 5/14/21, so was started on medrol dose pack and vistaril

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1317250&WAYBACKHISTORY=ON


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