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This is VAERS ID 1775358

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/15/2021

VAERS ID: 1775358
VAERS Form:2
Age:44.0
Sex:Female
Location:Puerto Rico
Vaccinated:2021-04-01
Onset:2021-10-09
Submitted:0000-00-00
Entered:2021-10-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / SYR

Administered by: Work      Purchased by: ??
Symptoms: Alopecia, Alopecia universalis, Rash, Thyroid function test normal

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: DELZICOL
Current Illness: Ulcerative colitis
Preexisting Conditions:
Allergies: Aspirin for ulcerative colitis
Diagnostic Lab Data: Thyroid test, everything was fine.
CDC 'Split Type':

Write-up: Body rash and hair loss, I got Alopecia universalis.

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