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This is VAERS ID 1446470

History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1446470
VAERS Form:2
Age:13.0
Sex:Female
Location:California
Vaccinated:2021-06-25
Onset:2021-06-25
Submitted:0000-00-00
Entered:2021-07-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0178 / 1 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Rash, Rash erythematous, Rash papular, Induration

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: Atomoxetine, Zoloft
Current Illness: Anorexia nervosa
Preexisting Conditions: N/a
Allergies: N/a
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Raised, hard, red rash on upper arm, approximately 2 inches long and 1 inch wide. Began day of vaccine and still present 8 days later.

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