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This is VAERS ID 919179

History of Changes from the VAERS Wayback Machine

First Appeared on 2/18/2021

VAERS ID: 919179
VAERS Form:2
Age:50.0
Sex:Female
Location:Alabama
Vaccinated:2020-12-28
Onset:2020-12-30
Submitted:0000-00-00
Entered:2021-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA D11J20A / 1 LA / SYR

Administered by: Work      Purchased by: ??
Symptoms: Burning sensation, Full blood count, Nausea, Petechiae, Rash, Musculoskeletal discomfort, SARS-CoV-2 test

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: mult vite C, zinc, black colash, biotin, mult collagen protein
Current Illness: no
Preexisting Conditions: no
Allergies: sulfa
Diagnostic Lab Data: CBC, COVID rapid test. ** outpatient CBC and covid rapid test completed while at work***
CDC 'Split Type':

Write-up: day 2 vaccine I woke up with rash all over my body except for face. No itch it burned with heat. day 4 petechiae on my legs. day 5 nausea with extreme pressure and fullness in the back of my neck. It felt like pressure on my head. No pain unless touch Only relief when sitting straight up. Took tylenol and ibuprofen and allegra but did have any relief. Telehealth with occupation heath.


Changed on 5/7/2021

VAERS ID: 919179 Before After
VAERS Form:2
Age:50.0
Sex:Female
Location:Alabama
Vaccinated:2020-12-28
Onset:2020-12-30
Submitted:0000-00-00
Entered:2021-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA D11J20A / 1 LA / SYR

Administered by: Work      Purchased by: ??
Symptoms: Burning sensation, Full blood count, Nausea, Petechiae, Rash, Musculoskeletal discomfort, SARS-CoV-2 test

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: mult vite C, zinc, black colash, biotin, mult collagen protein
Current Illness: no
Preexisting Conditions: no
Allergies: sulfa sulfa
Diagnostic Lab Data: CBC, COVID rapid test. ** outpatient CBC and covid rapid test completed while at work***
CDC 'Split Type':

Write-up: day 2 vaccine I woke up with rash all over my body except for face. No itch it burned with heat. day 4 petechiae on my legs. day 5 nausea with extreme pressure and fullness in the back of my neck. It felt like pressure on my head. No pain unless touch Only relief when sitting straight up. Took tylenol and ibuprofen and allegra but did have any relief. Telehealth with occupation heath.


Changed on 5/14/2021

VAERS ID: 919179 Before After
VAERS Form:2
Age:50.0
Sex:Female
Location:Alabama
Vaccinated:2020-12-28
Onset:2020-12-30
Submitted:0000-00-00
Entered:2021-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA D11J20A / 1 LA / SYR

Administered by: Work      Purchased by: ??
Symptoms: Burning sensation, Full blood count, Nausea, Petechiae, Rash, Musculoskeletal discomfort, SARS-CoV-2 test

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: mult vite C, zinc, black colash, biotin, mult collagen protein
Current Illness: no
Preexisting Conditions: no
Allergies: sulfa sulfa
Diagnostic Lab Data: CBC, COVID rapid test. ** outpatient CBC and covid rapid test completed while at work***
CDC 'Split Type':

Write-up: day 2 vaccine I woke up with rash all over my body except for face. No itch it burned with heat. day 4 petechiae on my legs. day 5 nausea with extreme pressure and fullness in the back of my neck. It felt like pressure on my head. No pain unless touch Only relief when sitting straight up. Took tylenol and ibuprofen and allegra but did have any relief. Telehealth with occupation heath.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=919179&WAYBACKHISTORY=ON


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