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This is VAERS ID 955697

History of Changes from the VAERS Wayback Machine

First Appeared on 4/23/2021

VAERS ID: 955697
VAERS Form:2
Age:49.0
Sex:Male
Location:Texas
Vaccinated:2021-01-08
Onset:2021-01-18
Submitted:0000-00-00
Entered:2021-01-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3248 / 1 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Body temperature increased, Burning sensation, Erythema, Vasculitis, COVID-19, SARS-CoV-2 test positive

Life Threatening? No
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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Airborn; Vitamin D; Vitamin D 1000iu; cloves 1000mg ; Rutin 500mg, vitamin c 1000mg; psyllium husk 750mg; N-Acetyl Glucosamine 700mg; PepZin GI;
Current Illness: seasonal allergies
Preexisting Conditions: none
Allergies: soy lecithin
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Vasculitis of hands and feet. Symptoms first noted in hands on 1/17/2021 - intermittent - adverse reaction on 1/18/2021 at 11:08 pm - hands became bright red as well as feet. Burning sensation (similar to taking Niacin) Color changed in feet from bright red to dark red with some purple in digits 2 and 3 of both feet. Appears swollen. I was informed on 1/12 (4 days after being vaccinated) that my daughter had been exposed to COVID. We family quarantined. The adverse reaction led me to go to an urgent care clinic to be tested for COVID. I had the POC test performed and came back positive. My temperature was recorded at 99.3 F.


Changed on 5/7/2021

VAERS ID: 955697 Before After
VAERS Form:2
Age:49.0
Sex:Male
Location:Texas
Vaccinated:2021-01-08
Onset:2021-01-18
Submitted:0000-00-00
Entered:2021-01-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3248 / 1 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Body temperature increased, Burning sensation, Erythema, Vasculitis, COVID-19, SARS-CoV-2 test positive

Life Threatening? No
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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Airborn; Vitamin D; Vitamin D 1000iu; cloves 1000mg ; Rutin 500mg, vitamin c 1000mg; psyllium husk 750mg; N-Acetyl Glucosamine 700mg; PepZin GI;
Current Illness: seasonal allergies
Preexisting Conditions: none
Allergies: soy lecithin lecithin
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Vasculitis of hands and feet. Symptoms first noted in hands on 1/17/2021 - intermittent - adverse reaction on 1/18/2021 at 11:08 pm - hands became bright red as well as feet. Burning sensation (similar to taking Niacin) Color changed in feet from bright red to dark red with some purple in digits 2 and 3 of both feet. Appears swollen. I was informed on 1/12 (4 days after being vaccinated) that my daughter had been exposed to COVID. We family quarantined. The adverse reaction led me to go to an urgent care clinic to be tested for COVID. I had the POC test performed and came back positive. My temperature was recorded at 99.3 F.


Changed on 5/14/2021

VAERS ID: 955697 Before After
VAERS Form:2
Age:49.0
Sex:Male
Location:Texas
Vaccinated:2021-01-08
Onset:2021-01-18
Submitted:0000-00-00
Entered:2021-01-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3248 / 1 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Body temperature increased, Burning sensation, Erythema, Vasculitis, COVID-19, SARS-CoV-2 test positive

Life Threatening? No
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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Airborn; Vitamin D; Vitamin D 1000iu; cloves 1000mg ; Rutin 500mg, vitamin c 1000mg; psyllium husk 750mg; N-Acetyl Glucosamine 700mg; PepZin GI;
Current Illness: seasonal allergies
Preexisting Conditions: none
Allergies: soy lecithin lecithin
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Vasculitis of hands and feet. Symptoms first noted in hands on 1/17/2021 - intermittent - adverse reaction on 1/18/2021 at 11:08 pm - hands became bright red as well as feet. Burning sensation (similar to taking Niacin) Color changed in feet from bright red to dark red with some purple in digits 2 and 3 of both feet. Appears swollen. I was informed on 1/12 (4 days after being vaccinated) that my daughter had been exposed to COVID. We family quarantined. The adverse reaction led me to go to an urgent care clinic to be tested for COVID. I had the POC test performed and came back positive. My temperature was recorded at 99.3 F.

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