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This is VAERS ID 1420157

History of Changes from the VAERS Wayback Machine

First Appeared on 6/25/2021

VAERS ID: 1420157
VAERS Form:2
Age:1.5
Sex:Male
Location:New Jersey
Vaccinated:2021-05-22
Onset:2021-06-04
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, Rash, Rash pruritic, Exposure to vaccinated person

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: 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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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1420157&WAYBACKHISTORY=ON


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