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This is VAERS ID 953397

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History of Changes from the VAERS Wayback Machine

First Appeared on 1/22/2021

VAERS ID: 953397
VAERS Form:2
Age:
Sex:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2021-01-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20A / 1 LA / SC

Administered by: Unknown      Purchased by: ??
Symptoms: Blister, Headache, Herpes zoster, Platelet count decreased, Immune thrombocytopenia

Life Threatening? Yes
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)? Yes
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CBC: platelet 70 in ER 01/16/2021 Platelet 29 01/17/2021 After steroid treatment going up to 45 01/18/2021
CDC 'Split Type':

Write-up: 1day after vaccine,developed severe headache & later blister in head officially Shingle . Then decreased platelet count fatally to 29(ITP).now hospitalized getting treatment.


Changed on 5/7/2021

VAERS ID: 953397 Before After
VAERS Form:2
Age:
Sex:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2021-01-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20A / 1 LA / SC

Administered by: Unknown      Purchased by: ??
Symptoms: Blister, Headache, Herpes zoster, Platelet count decreased, Immune thrombocytopenia

Life Threatening? Yes
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)? Yes
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CBC: platelet 70 in ER 01/16/2021 Platelet 29 01/17/2021 After steroid treatment going up to 45 01/18/2021
CDC 'Split Type':

Write-up: 1day after vaccine,developed severe headache & later blister in head officially Shingle . Then decreased platelet count fatally to 29(ITP).now hospitalized getting treatment.


Changed on 5/14/2021

VAERS ID: 953397 Before After
VAERS Form:2
Age:
Sex:Unknown
Location:Unknown
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted:0000-00-00
Entered:2021-01-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20A / 1 LA / SC

Administered by: Unknown      Purchased by: ??
Symptoms: Blister, Headache, Herpes zoster, Platelet count decreased, Immune thrombocytopenia

Life Threatening? Yes
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)? Yes
Hospitalized? Yes, days: 4     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: CBC: platelet 70 in ER 01/16/2021 Platelet 29 01/17/2021 After steroid treatment going up to 45 01/18/2021
CDC 'Split Type':

Write-up: 1day after vaccine,developed severe headache & later blister in head officially Shingle . Then decreased platelet count fatally to 29(ITP).now hospitalized getting treatment.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=953397&WAYBACKHISTORY=ON


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