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This is VAERS ID 1768732

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/8/2021

VAERS ID: 1768732
VAERS Form:2
Age:46.0
Sex:Female
Location:Rhode Island
Vaccinated:2021-10-01
Onset:2021-10-04
Submitted:0000-00-00
Entered:2021-10-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025C21A / 1 - / SYR

Administered by: Private      Purchased by: ??
Symptoms: Pruritus, Urticaria

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
Current Illness: Knee surgery 9/22/21. Acl reconstruction and meniscus tear repair
Preexisting Conditions: None
Allergies:
Diagnostic Lab Data: None. Spoke to doctor who reports rash is unlikely the result of vaccine. Which can?t possibly be true as there isn?t a single thing that has changed in my life.
CDC 'Split Type':

Write-up: Recurrent full body hives. Scalp, palms of hands and soles of feet with persistent itch. Unrelieved after 2 days of Benadryl. Started prednisone taper yesterday 2nd dose taken today. Hives and itching continues intermittently.

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