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From the 9/10/2021 release of VAERS data:

This is VAERS ID 1420157



Case Details

VAERS ID: 1420157 (history)  
Form: Version 2.0  
Age: 1.5  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-05-22
Onset:2021-06-04
   Days after vaccination:13
Submitted: 0000-00-00
Entered: 2021-06-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Dermatitis acneiform, Exposure to vaccinated person, Rash, Rash pruritic
SMQs:, Anaphylactic reaction (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Multivitamin with fluoride
Current Illness: No
Preexisting Conditions: No
Allergies: No
Diagnostic Lab Data:
CDC Split Type:

Write-up: My son is breastfeed I received the vaccine 5/21/2021 on 6/4/2021 a rash suddenly appeared all Over his neck that was extremely itchy we treated it with steroids three days later the rash came back all over his scalp ( tiny little bumps ) again extremely itchy it went away again for theee days then returned all Over his body from head to toe , tiny pimples that were extremely itchy . This has been two for two weeks coming and going.


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