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This is VAERS ID 903392

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/18/2020

VAERS ID: 903392
VAERS Form:2
Age:47.0
Sex:Male
Location:Texas
Vaccinated:2020-12-16
Onset:2020-12-17
Submitted:0000-00-00
Entered:2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Pruritus, Rash, Rash maculo-papular

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: None
Current Illness: None
Preexisting Conditions: Mild psoriasis Atopic dermatitis
Allergies: Latex
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: Rash - noted all over body - mostly trunk, neck, upper arms bilaterally - mostly macular with slight papular component. Significant itch.


Changed on 12/24/2020

VAERS ID: 903392 Before After
VAERS Form:2
Age:47.0
Sex:Male
Location:Texas
Vaccinated:2020-12-16
Onset:2020-12-17
Submitted:0000-00-00
Entered:2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Pruritus, Rash, Rash maculo-papular

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: None
Current Illness: None
Preexisting Conditions: Mild psoriasis Atopic dermatitis
Allergies: Latex Latex
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: Rash - noted all over body - mostly trunk, neck, upper arms bilaterally - mostly macular with slight papular component. Significant itch.


Changed on 12/30/2020

VAERS ID: 903392 Before After
VAERS Form:2
Age:47.0
Sex:Male
Location:Texas
Vaccinated:2020-12-16
Onset:2020-12-17
Submitted:0000-00-00
Entered:2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Pruritus, Rash, Rash maculo-papular

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: None
Current Illness: None
Preexisting Conditions: Mild psoriasis Atopic dermatitis
Allergies: Latex Latex
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: Rash - noted all over body - mostly trunk, neck, upper arms bilaterally - mostly macular with slight papular component. Significant itch.


Changed on 5/7/2021

VAERS ID: 903392 Before After
VAERS Form:2
Age:47.0
Sex:Male
Location:Texas
Vaccinated:2020-12-16
Onset:2020-12-17
Submitted:0000-00-00
Entered:2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Pruritus, Rash, Rash maculo-papular

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: None
Current Illness: None
Preexisting Conditions: Mild psoriasis Atopic dermatitis
Allergies: Latex Latex
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: Rash - noted all over body - mostly trunk, neck, upper arms bilaterally - mostly macular with slight papular component. Significant itch.


Changed on 5/21/2021

VAERS ID: 903392 Before After
VAERS Form:2
Age:47.0
Sex:Male
Location:Texas
Vaccinated:2020-12-16
Onset:2020-12-17
Submitted:0000-00-00
Entered:2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Pruritus, Rash, Rash maculo-papular

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: None
Current Illness: None
Preexisting Conditions: Mild psoriasis Atopic dermatitis
Allergies: Latex Latex
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: Rash - noted all over body - mostly trunk, neck, upper arms bilaterally - mostly macular with slight papular component. Significant itch.

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