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This is VAERS ID 953136

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History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 953136
VAERS Form:2
Age:41.0
Sex:Female
Location:Unknown
Vaccinated:2021-01-15
Onset:2021-01-16
Submitted:0000-00-00
Entered:2021-01-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Work      Purchased by: ??
Symptoms: Feeling abnormal, Flushing, Hyperhidrosis, Local reaction, Pain, Petechiae, Pyrexia, Rash, Paraesthesia oral, Oropharyngeal discomfort

Life Threatening? No
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? No
Previous Vaccinations:
Other Medications: Lexapro
Current Illness:
Preexisting Conditions:
Allergies: NKDA
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Evening after receiving vaccine, felt "fuzzy, full feeling in tongue and throat". No breathing issue. Fever (101 degree) and rash (all over body, red, flat petechiae) developed 24 hours after vaccine with diaphoresis and general skin flushing, body aches and, severe local arm reaction. All symptoms resolved after 48 hrs.


Changed on 5/7/2021

VAERS ID: 953136 Before After
VAERS Form:2
Age:41.0
Sex:Female
Location:Unknown
Vaccinated:2021-01-15
Onset:2021-01-16
Submitted:0000-00-00
Entered:2021-01-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Work      Purchased by: ??
Symptoms: Feeling abnormal, Flushing, Hyperhidrosis, Local reaction, Pain, Petechiae, Pyrexia, Rash, Paraesthesia oral, Oropharyngeal discomfort

Life Threatening? No
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? No
Previous Vaccinations:
Other Medications: Lexapro
Current Illness:
Preexisting Conditions:
Allergies: NKDA NKDA
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Evening after receiving vaccine, felt "fuzzy, full feeling in tongue and throat". No breathing issue. Fever (101 degree) and rash (all over body, red, flat petechiae) developed 24 hours after vaccine with diaphoresis and general skin flushing, body aches and, severe local arm reaction. All symptoms resolved after 48 hrs.


Changed on 5/14/2021

VAERS ID: 953136 Before After
VAERS Form:2
Age:41.0
Sex:Female
Location:Unknown
Vaccinated:2021-01-15
Onset:2021-01-16
Submitted:0000-00-00
Entered:2021-01-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Work      Purchased by: ??
Symptoms: Feeling abnormal, Flushing, Hyperhidrosis, Local reaction, Pain, Petechiae, Pyrexia, Rash, Paraesthesia oral, Oropharyngeal discomfort

Life Threatening? No
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? No
Previous Vaccinations:
Other Medications: Lexapro
Current Illness:
Preexisting Conditions:
Allergies: NKDA NKDA
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Evening after receiving vaccine, felt "fuzzy, full feeling in tongue and throat". No breathing issue. Fever (101 degree) and rash (all over body, red, flat petechiae) developed 24 hours after vaccine with diaphoresis and general skin flushing, body aches and, severe local arm reaction. All symptoms resolved after 48 hrs.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=953136&WAYBACKHISTORY=ON


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