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This is VAERS ID 1347595

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1347595
VAERS Form:2
Age:45.0
Sex:Male
Location:Ohio
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 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Pharmacy      Purchased by: ??
Symptoms: Rash, Rash erythematous, Rash pruritic

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: The next day following the shot (05/22/2021), the patient had a rash covering his entire body. He said it was itchy and red. The patient went to urgent care and received a steroid shot and steroid pills for 6 days. Called the pharmacy on 05/25/2021 to tell about the reaction

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1347595&WAYBACKHISTORY=ON


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