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This is VAERS ID 1430908

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1430908
VAERS Form:2
Age:48.0
Sex:Female
Location:New Jersey
Vaccinated:2021-06-24
Onset:2021-06-26
Submitted:0000-00-00
Entered:2021-06-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0183 / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Dermatitis acneiform, Rash

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: Keppra 500mg
Current Illness: Bronchitis
Preexisting Conditions: Seizure Disorder
Allergies: Cipro Amoxicillian
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pimpled rash all over chest, shoulders, neck

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1430908&WAYBACKHISTORY=ON


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