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This is VAERS ID 1588558

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History of Changes from the VAERS Wayback Machine

First Appeared on 8/27/2021

VAERS ID: 1588558
VAERS Form:2
Age:12.0
Sex:Female
Location:Ohio
Vaccinated:2021-07-30
Onset:2021-07-31
Submitted:0000-00-00
Entered:2021-08-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (JANSSEN)) / JANSSEN EW0217 / 2 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Rash, Inappropriate schedule of product administration

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
Current Illness:
Preexisting Conditions:
Allergies: KNDA
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient received 2nd Covid Pfizer vaccine 14 days from the 1st vaccine. Father says patient had rash on waist/hip that resolved in around 7 days

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