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This is VAERS ID 957853

History of Changes from the VAERS Wayback Machine

First Appeared on 4/16/2021

VAERS ID: 957853
VAERS Form:2
Age:38.0
Sex:Female
Location:Louisiana
Vaccinated:2021-01-07
Onset:2021-01-17
Submitted:0000-00-00
Entered:2021-01-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Full blood count normal, International normalised ratio normal, Petechiae, Prothrombin time normal, Pruritus, Rash papular, Streptococcus test, Streptococcus test negative, SARS-CoV-2 test negative

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: Celexa, Micogestin
Current Illness:
Preexisting Conditions:
Allergies: Sulfa, Pertussis, Erythromycin
Diagnostic Lab Data: negative rapid strep and rapid covid tests in clinic; normal CBCd and PT/INR
CDC 'Split Type':

Write-up: Papular rash with petechiae and itching 10 days after vaccine


Changed on 5/7/2021

VAERS ID: 957853 Before After
VAERS Form:2
Age:38.0
Sex:Female
Location:Louisiana
Vaccinated:2021-01-07
Onset:2021-01-17
Submitted:0000-00-00
Entered:2021-01-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Full blood count normal, International normalised ratio normal, Petechiae, Prothrombin time normal, Pruritus, Rash papular, Streptococcus test, Streptococcus test negative, SARS-CoV-2 test negative

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: Celexa, Micogestin
Current Illness:
Preexisting Conditions:
Allergies: Sulfa, Pertussis, Erythromycin Erythromycin
Diagnostic Lab Data: negative rapid strep and rapid covid tests in clinic; normal CBCd and PT/INR
CDC 'Split Type':

Write-up: Papular rash with petechiae and itching 10 days after vaccine


Changed on 5/14/2021

VAERS ID: 957853 Before After
VAERS Form:2
Age:38.0
Sex:Female
Location:Louisiana
Vaccinated:2021-01-07
Onset:2021-01-17
Submitted:0000-00-00
Entered:2021-01-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Full blood count normal, International normalised ratio normal, Petechiae, Prothrombin time normal, Pruritus, Rash papular, Streptococcus test, Streptococcus test negative, SARS-CoV-2 test negative

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: Celexa, Micogestin
Current Illness:
Preexisting Conditions:
Allergies: Sulfa, Pertussis, Erythromycin Erythromycin
Diagnostic Lab Data: negative rapid strep and rapid covid tests in clinic; normal CBCd and PT/INR
CDC 'Split Type':

Write-up: Papular rash with petechiae and itching 10 days after vaccine

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=957853&WAYBACKHISTORY=ON

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