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This is VAERS ID 1759551

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/8/2021

VAERS ID: 1759551
VAERS Form:2
Age:36.0
Sex:Female
Location:Tennessee
Vaccinated:2021-10-03
Onset:2021-10-03
Submitted:0000-00-00
Entered:2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FF2588 / 1 RA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: 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: None
Current Illness: none
Preexisting Conditions: none
Allergies: Morphine
Diagnostic Lab Data: none at this time
CDC 'Split Type':

Write-up: Patient had a rash that started on the right arm and spread to the legs and truck overnight. Patient contacted her primary care and was advised to take benadryl and pepcid.

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