National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

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

This is VAERS ID 953364



Case Details

VAERS ID: 953364 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Mississippi  
Vaccinated:2021-01-14
Onset:2021-01-18
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-01-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3302 / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Purpura, Rash
SMQs:, Anaphylactic reaction (broad), Haemorrhage terms (excl laboratory terms) (narrow), 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? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Oxybutin
Current Illness: None
Preexisting Conditions: 4 years post treatment for Adenoid Cystic Carcinoma
Allergies: Stadol
Diagnostic Lab Data:
CDC Split Type:

Write-up: Purpura on abdomen


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=953364

Government Disclaimer on use of this data


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166