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This is VAERS ID 1350411

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1350411
VAERS Form:2
Age:64.0
Sex:Female
Location:Georgia
Vaccinated:2021-05-21
Onset:2021-05-22
Submitted:0000-00-00
Entered:2021-05-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0165 / 1 RA / -

Administered by: Private      Purchased by: ??
Symptoms: Rash, Rash erythematous, Rash maculo-papular, Rash papular, 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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: raised reddened maculopapular itchy rash on arms chest, torso

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1350411&WAYBACKHISTORY=ON


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