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This is VAERS ID 1378209

History of Changes from the VAERS Wayback Machine

First Appeared on 6/11/2021

VAERS ID: 1378209
VAERS Form:2
Age:21.0
Sex:Female
Location:Puerto Rico
Vaccinated:2021-06-03
Onset:2021-06-04
Submitted:0000-00-00
Entered:2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0186 / 2 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Abdominal discomfort, Pruritus, Rash, Rash erythematous

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: Prenatal Vitamins. Pepcid AC
Current Illness: NKH
Preexisting Conditions: ASMA, Sinusitis
Allergies: NKA
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Local Rash around the stomach area. Itching and reddish.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1378209&WAYBACKHISTORY=ON


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