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This is VAERS ID 1368475

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1368475
VAERS Form:2
Age:33.0
Sex:Female
Location:Unknown
Vaccinated:2021-04-30
Onset:2021-06-01
Submitted:0000-00-00
Entered:2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 AR / IM

Administered by: Private      Purchased by: ??
Symptoms: Rash, Rash papular, 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:
Other Medications: None. Completed treatment with Augmentin 5/27/2021
Current Illness: Viral upper respiratory illness from 5/13/2021-5/27/2021
Preexisting Conditions:
Allergies: Pcn-Rash
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: pruritic papular rash to arms, legs, and painful rash to left palm

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1368475&WAYBACKHISTORY=ON


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