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This is VAERS ID 951723

History of Changes from the VAERS Wayback Machine

First Appeared on 4/16/2021

VAERS ID: 951723
VAERS Form:2
Age:56.0
Sex:Female
Location:Washington
Vaccinated:2020-12-24
Onset:2021-01-04
Submitted:0000-00-00
Entered:2021-01-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Antinuclear antibody, Biopsy skin abnormal, C-reactive protein normal, Cryoglobulins absent, Full blood count, Petechiae, Rash, Rash papular, Rash pruritic, Rheumatoid factor, Urine analysis, Red blood cell sedimentation rate normal, Antineutrophil cytoplasmic antibody increased, Metabolic function test, Anti-cyclic citrullinated peptide antibody negative, SARS-CoV-2 test negative

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: cholecalciferol 1000 units estradiol 0.05 mg / 24 hrs imiquimod cream mometasone nasal spray prometrium 100 mg tretinoin 0.05% cream valacyclovir 500 mg
Current Illness: None.
Preexisting Conditions: lumbar spondylolisthesis menopausal hot flashes, joint pains, and vaginal dryness herpes allergic rhinitis history of reactive airways disease
Allergies: None.
Diagnostic Lab Data: CBC, CMP, UA, complement studies, ANA, anti CCP, RF, cryoglobulin, ESR, CRP within normal limits. ANCA study showed elevated anti-Saccharomyces cerevisiae antibody. COVID19 NAAT testing negative. Skin biopsy showed superficial and deep perivascular dermatitis with eosinophils.
CDC 'Split Type':

Write-up: About 10 days following the vaccine, developed an itchy, slightly painful, papular and petechial rash, primarily in underarms, arms, and legs. Antihistamine helped reduce symptoms. Rash has persisted, but improving.


Changed on 5/7/2021

VAERS ID: 951723 Before After
VAERS Form:2
Age:56.0
Sex:Female
Location:Washington
Vaccinated:2020-12-24
Onset:2021-01-04
Submitted:0000-00-00
Entered:2021-01-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Antinuclear antibody, Biopsy skin abnormal, C-reactive protein normal, Cryoglobulins absent, Full blood count, Petechiae, Rash, Rash papular, Rash pruritic, Rheumatoid factor, Urine analysis, Red blood cell sedimentation rate normal, Antineutrophil cytoplasmic antibody increased, Metabolic function test, Anti-cyclic citrullinated peptide antibody negative, SARS-CoV-2 test negative

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: cholecalciferol 1000 units estradiol 0.05 mg / 24 hrs imiquimod cream mometasone nasal spray prometrium 100 mg tretinoin 0.05% cream valacyclovir 500 mg
Current Illness: None.
Preexisting Conditions: lumbar spondylolisthesis menopausal hot flashes, joint pains, and vaginal dryness herpes allergic rhinitis history of reactive airways disease
Allergies: None. None.
Diagnostic Lab Data: CBC, CMP, UA, complement studies, ANA, anti CCP, RF, cryoglobulin, ESR, CRP within normal limits. ANCA study showed elevated anti-Saccharomyces cerevisiae antibody. COVID19 NAAT testing negative. Skin biopsy showed superficial and deep perivascular dermatitis with eosinophils.
CDC 'Split Type':

Write-up: About 10 days following the vaccine, developed an itchy, slightly painful, papular and petechial rash, primarily in underarms, arms, and legs. Antihistamine helped reduce symptoms. Rash has persisted, but improving.


Changed on 5/14/2021

VAERS ID: 951723 Before After
VAERS Form:2
Age:56.0
Sex:Female
Location:Washington
Vaccinated:2020-12-24
Onset:2021-01-04
Submitted:0000-00-00
Entered:2021-01-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Antinuclear antibody, Biopsy skin abnormal, C-reactive protein normal, Cryoglobulins absent, Full blood count, Petechiae, Rash, Rash papular, Rash pruritic, Rheumatoid factor, Urine analysis, Red blood cell sedimentation rate normal, Antineutrophil cytoplasmic antibody increased, Metabolic function test, Anti-cyclic citrullinated peptide antibody negative, SARS-CoV-2 test negative

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: cholecalciferol 1000 units estradiol 0.05 mg / 24 hrs imiquimod cream mometasone nasal spray prometrium 100 mg tretinoin 0.05% cream valacyclovir 500 mg
Current Illness: None.
Preexisting Conditions: lumbar spondylolisthesis menopausal hot flashes, joint pains, and vaginal dryness herpes allergic rhinitis history of reactive airways disease
Allergies: None. None.
Diagnostic Lab Data: CBC, CMP, UA, complement studies, ANA, anti CCP, RF, cryoglobulin, ESR, CRP within normal limits. ANCA study showed elevated anti-Saccharomyces cerevisiae antibody. COVID19 NAAT testing negative. Skin biopsy showed superficial and deep perivascular dermatitis with eosinophils.
CDC 'Split Type':

Write-up: About 10 days following the vaccine, developed an itchy, slightly painful, papular and petechial rash, primarily in underarms, arms, and legs. Antihistamine helped reduce symptoms. Rash has persisted, but improving.

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