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This is VAERS ID 1769017

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/8/2021

VAERS ID: 1769017
VAERS Form:2
Age:63.0
Sex:Female
Location:Virginia
Vaccinated:2021-09-29
Onset:2021-10-04
Submitted:0000-00-00
Entered:2021-10-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FF2589 / 3 RA / SYR

Administered by: Unknown      Purchased by: ??
Symptoms: Rash, Rash papular

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: Betahistine, fosamax, magnesium, B-12, and women''s multi-vitamin
Current Illness: urinary tract infection
Preexisting Conditions: none
Allergies: Sulfa, augmentin
Diagnostic Lab Data: My internist reviewed the pictures I took of the rash and thought it could be related to getting the booster vaccine. So I reported it.
CDC 'Split Type':

Write-up: I woke up with raised white bumps covering my arms, upper legs and behind. They were most pronounced on my thighs and behind but they also lightly covered by arms and torso. There were NO other symptoms - NO fever, NO itching, NO problem swallowing, etc. Just a lot of raised white bumps . My internist saw the pictures I took of it and thought it could be related to getting the booster vaccine.

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