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From the 10/15/2021 release of VAERS data:

This is VAERS ID 936139



Case Details

VAERS ID: 936139 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Male  
Location: Michigan  
Vaccinated:2020-12-23
Onset:2020-12-28
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-01-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / IM

Administered by: Private       Purchased by: ?
Symptoms: Prothrombin time prolonged, Purpura, Rash
SMQs:, Liver-related coagulation and bleeding disturbances (narrow), Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), Haemorrhage laboratory terms (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: omeprazole, Fish oil, multi vitamin and Vit D
Current Illness: elevated cholesterol levels and GERD
Preexisting Conditions: Possible hypercholesterolemia
Allergies: NKDA
Diagnostic Lab Data: PT 13.3
CDC Split Type:

Write-up: purpura rash on bi-lat feet, ankles and legs. Elevated PT


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=936139

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