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This is VAERS ID 953364

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History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 953364
VAERS Form:2
Age:32.0
Sex:Female
Location:Mississippi
Vaccinated:2021-01-14
Onset:2021-01-18
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

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)? 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


Changed on 5/7/2021

VAERS ID: 953364 Before After
VAERS Form:2
Age:32.0
Sex:Female
Location:Mississippi
Vaccinated:2021-01-14
Onset:2021-01-18
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

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Oxybutin
Current Illness: None
Preexisting Conditions: 4 years post treatment for Adenoid Cystic Carcinoma
Allergies: Stadol Stadol
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Purpura on abdomen


Changed on 5/14/2021

VAERS ID: 953364 Before After
VAERS Form:2
Age:32.0
Sex:Female
Location:Mississippi
Vaccinated:2021-01-14
Onset:2021-01-18
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

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Oxybutin
Current Illness: None
Preexisting Conditions: 4 years post treatment for Adenoid Cystic Carcinoma
Allergies: Stadol Stadol
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Purpura on abdomen

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


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