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This is VAERS ID 930153

History of Changes from the VAERS Wayback Machine

First Appeared on 1/15/2021

VAERS ID: 930153
VAERS Form:2
Age:41.0
Sex:Male
Location:Michigan
Vaccinated:2021-01-05
Onset:2021-01-07
Submitted:0000-00-00
Entered:2021-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / IM

Administered by: Public      Purchased by: ??
Symptoms: Condition aggravated, Platelet count decreased, Immune thrombocytopenia

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Atorvastain 10mg Levothyroxine 112mcg Prilosec 20mg Insulin
Current Illness: NA
Preexisting Conditions: Insulin dependent Diabetes HX of ITP 2014, in remession
Allergies: PCN
Diagnostic Lab Data: Plt 2
CDC 'Split Type':

Write-up: ITP Plt 2


Changed on 5/7/2021

VAERS ID: 930153 Before After
VAERS Form:2
Age:41.0
Sex:Male
Location:Michigan
Vaccinated:2021-01-05
Onset:2021-01-07
Submitted:0000-00-00
Entered:2021-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / IM

Administered by: Public      Purchased by: ??
Symptoms: Condition aggravated, Platelet count decreased, Immune thrombocytopenia

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Atorvastain 10mg Levothyroxine 112mcg Prilosec 20mg Insulin
Current Illness: NA
Preexisting Conditions: Insulin dependent Diabetes HX of ITP 2014, in remession
Allergies: PCN PCN
Diagnostic Lab Data: Plt 2
CDC 'Split Type':

Write-up: ITP Plt 2


Changed on 5/14/2021

VAERS ID: 930153 Before After
VAERS Form:2
Age:41.0
Sex:Male
Location:Michigan
Vaccinated:2021-01-05
Onset:2021-01-07
Submitted:0000-00-00
Entered:2021-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / IM

Administered by: Public      Purchased by: ??
Symptoms: Condition aggravated, Platelet count decreased, Immune thrombocytopenia

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Atorvastain 10mg Levothyroxine 112mcg Prilosec 20mg Insulin
Current Illness: NA
Preexisting Conditions: Insulin dependent Diabetes HX of ITP 2014, in remession
Allergies: PCN PCN
Diagnostic Lab Data: Plt 2
CDC 'Split Type':

Write-up: ITP Plt 2

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=930153&WAYBACKHISTORY=ON

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