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This is VAERS ID 953216

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History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 953216
VAERS Form:2
Age:31.0
Sex:Female
Location:Virginia
Vaccinated:2020-12-31
Onset:2021-01-07
Submitted:0000-00-00
Entered:2021-01-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA O26L2OA / 1 LA / SYR

Administered by: Public      Purchased by: ??
Symptoms: Insomnia, Petechiae, Pruritus, Skin hyperpigmentation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None at the time. I had gotten routine bloodwork done which showed iron deficiency anemia and vitamin D deficiency. I started taking supplements Friday evening. The rash worsened the next day and spread over a large majority of my trunk are
Current Illness: I had a left-sided headache that developed about two weeks prior. I went to the ER on 12/17 where I was given Benadryl, Toradol, and Reglan - the "migraine cocktail". Otherwise no issues. The routine bloodwork I had done showed high cholesterol (I have a history of this), slightly elevated platelets at 509,000 and my provider said my ANA titer was slightly elevated but I have no family history of autoimmune disorders and no other symptoms of any autoimmune disorder. I also read low vitamin D levels can alter ANA results and mine are pretty low at 20.
Preexisting Conditions: History of iron-deficiency anemia and high cholesterol, HSV-2 diagnosed January 2013 after hospitalized with viral meningitis during the primary infection.
Allergies: Amoxicillin: hives, Acyclovir: hives, Valacyclovir: mouth tingling, tongue swelling, Famciclovir: hives
Diagnostic Lab Data: Skin biopsy was done showing ?spongiotic vesicular dermatitis with eosinophils. These changes are fundamentally those of dermal hypersensitivity eruption, such as which can be seen secondary to a drug.? Microscopic description ?there is a perivascular mixed cell infiltrate including eosinophils. There is epidermal spongiosis with spongiotic vesiculation.?
CDC 'Split Type':

Write-up: Developed severe itching starting on my forearms overnight on Thursday going into Friday that week after I received the vaccine. The itching progressed to my stomach/trunk and back. The more I itched, the itching worsened and pink bumps would immediately appear. The left side by my rib and over my left breast were the worst impacted. The bumps later appeared to join. I went to the ER that Saturday 1/9/21 after two doses of Benadryl didn?t help. I was prescribed oral antibiotics starting at 60mg a day for two days, then tapered down 10mg every 10 days. I?m currently on day 1 of 20mg. Also took Benadryl as the itching was keeping me from sleeping. I was also prescribed clobetasol cream to administer twice a day. Symptoms have markedly improved. The rash is now the same feeling as my skin, not bumpy. Hyperpigmentation remains. I?m being followed by my dermatologist whom I saw Monday 1/11/21. She performed a punch skin biopsy.


Changed on 5/7/2021

VAERS ID: 953216 Before After
VAERS Form:2
Age:31.0
Sex:Female
Location:Virginia
Vaccinated:2020-12-31
Onset:2021-01-07
Submitted:0000-00-00
Entered:2021-01-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA O26L2OA / 1 LA / SYR

Administered by: Public      Purchased by: ??
Symptoms: Insomnia, Petechiae, Pruritus, Skin hyperpigmentation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None at the time. I had gotten routine bloodwork done which showed iron deficiency anemia and vitamin D deficiency. I started taking supplements Friday evening. The rash worsened the next day and spread over a large majority of my trunk are
Current Illness: I had a left-sided headache that developed about two weeks prior. I went to the ER on 12/17 where I was given Benadryl, Toradol, and Reglan - the "migraine cocktail". Otherwise no issues. The routine bloodwork I had done showed high cholesterol (I have a history of this), slightly elevated platelets at 509,000 and my provider said my ANA titer was slightly elevated but I have no family history of autoimmune disorders and no other symptoms of any autoimmune disorder. I also read low vitamin D levels can alter ANA results and mine are pretty low at 20.
Preexisting Conditions: History of iron-deficiency anemia and high cholesterol, HSV-2 diagnosed January 2013 after hospitalized with viral meningitis during the primary infection.
Allergies: Amoxicillin: hives, Acyclovir: hives, Valacyclovir: mouth tingling, tongue swelling, Famciclovir: hives hives
Diagnostic Lab Data: Skin biopsy was done showing ?spongiotic vesicular dermatitis with eosinophils. These changes are fundamentally those of dermal hypersensitivity eruption, such as which can be seen secondary to a drug.? Microscopic description ?there is a perivascular mixed cell infiltrate including eosinophils. There is epidermal spongiosis with spongiotic vesiculation.?
CDC 'Split Type':

Write-up: Developed severe itching starting on my forearms overnight on Thursday going into Friday that week after I received the vaccine. The itching progressed to my stomach/trunk and back. The more I itched, the itching worsened and pink bumps would immediately appear. The left side by my rib and over my left breast were the worst impacted. The bumps later appeared to join. I went to the ER that Saturday 1/9/21 after two doses of Benadryl didn?t help. I was prescribed oral antibiotics starting at 60mg a day for two days, then tapered down 10mg every 10 days. I?m currently on day 1 of 20mg. Also took Benadryl as the itching was keeping me from sleeping. I was also prescribed clobetasol cream to administer twice a day. Symptoms have markedly improved. The rash is now the same feeling as my skin, not bumpy. Hyperpigmentation remains. I?m being followed by my dermatologist whom I saw Monday 1/11/21. She performed a punch skin biopsy.


Changed on 5/14/2021

VAERS ID: 953216 Before After
VAERS Form:2
Age:31.0
Sex:Female
Location:Virginia
Vaccinated:2020-12-31
Onset:2021-01-07
Submitted:0000-00-00
Entered:2021-01-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA O26L2OA / 1 LA / SYR

Administered by: Public      Purchased by: ??
Symptoms: Insomnia, Petechiae, Pruritus, Skin hyperpigmentation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None at the time. I had gotten routine bloodwork done which showed iron deficiency anemia and vitamin D deficiency. I started taking supplements Friday evening. The rash worsened the next day and spread over a large majority of my trunk are
Current Illness: I had a left-sided headache that developed about two weeks prior. I went to the ER on 12/17 where I was given Benadryl, Toradol, and Reglan - the "migraine cocktail". Otherwise no issues. The routine bloodwork I had done showed high cholesterol (I have a history of this), slightly elevated platelets at 509,000 and my provider said my ANA titer was slightly elevated but I have no family history of autoimmune disorders and no other symptoms of any autoimmune disorder. I also read low vitamin D levels can alter ANA results and mine are pretty low at 20.
Preexisting Conditions: History of iron-deficiency anemia and high cholesterol, HSV-2 diagnosed January 2013 after hospitalized with viral meningitis during the primary infection.
Allergies: Amoxicillin: hives, Acyclovir: hives, Valacyclovir: mouth tingling, tongue swelling, Famciclovir: hives hives
Diagnostic Lab Data: Skin biopsy was done showing ?spongiotic vesicular dermatitis with eosinophils. These changes are fundamentally those of dermal hypersensitivity eruption, such as which can be seen secondary to a drug.? Microscopic description ?there is a perivascular mixed cell infiltrate including eosinophils. There is epidermal spongiosis with spongiotic vesiculation.?
CDC 'Split Type':

Write-up: Developed severe itching starting on my forearms overnight on Thursday going into Friday that week after I received the vaccine. The itching progressed to my stomach/trunk and back. The more I itched, the itching worsened and pink bumps would immediately appear. The left side by my rib and over my left breast were the worst impacted. The bumps later appeared to join. I went to the ER that Saturday 1/9/21 after two doses of Benadryl didn?t help. I was prescribed oral antibiotics starting at 60mg a day for two days, then tapered down 10mg every 10 days. I?m currently on day 1 of 20mg. Also took Benadryl as the itching was keeping me from sleeping. I was also prescribed clobetasol cream to administer twice a day. Symptoms have markedly improved. The rash is now the same feeling as my skin, not bumpy. Hyperpigmentation remains. I?m being followed by my dermatologist whom I saw Monday 1/11/21. She performed a punch skin biopsy.

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