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This is VAERS ID 1346949

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1346949
VAERS Form:2
Age:79.0
Sex:Female
Location:California
Vaccinated:2021-05-21
Onset:2021-05-22
Submitted:0000-00-00
Entered:2021-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Rash, Rash pruritic

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: 1st dose of COVID vaccine caused pinpoint mildly pruritic rash
Other Medications: losartan, Januvia, atorvastatin, folic acid, multivitamin
Current Illness: breast cancer treatment April 2021 and started exemestane on May 14th.
Preexisting Conditions:
Allergies: metronidazole, metformin, adhesives, cephalexin, clindamycin, ferrous sulfate, exemestane
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: within 24 hours began with very itchy rash primarily to her thighs, abdomen, back and chest

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1346949&WAYBACKHISTORY=ON


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