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This is VAERS ID 946137

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History of Changes from the VAERS Wayback Machine

First Appeared on 4/16/2021

VAERS ID: 946137
VAERS Form:2
Age:17.0
Sex:Male
Location:California
Vaccinated:2021-01-14
Onset:2021-01-14
Submitted:0000-00-00
Entered:2021-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3302 / 1 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: HPV, 03/2015, fainted/vomited after hitting his head , 12 years old
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: No allergies Tho a little milk sensitivity (lactose)
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Red rash appeared in both arms from shoulders to almost the elbows. No itching. Nurse gave Benadryl & Pepcid to slow symptoms. Rash went away within half an hour. No other symptoms.


Changed on 5/7/2021

VAERS ID: 946137 Before After
VAERS Form:2
Age:17.0
Sex:Male
Location:California
Vaccinated:2021-01-14
Onset:2021-01-14
Submitted:0000-00-00
Entered:2021-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3302 / 1 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: HPV, 03/2015, fainted/vomited after hitting his head , 12 years old
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: No allergies Tho a little milk sensitivity (lactose) (lactose)
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Red rash appeared in both arms from shoulders to almost the elbows. No itching. Nurse gave Benadryl & Pepcid to slow symptoms. Rash went away within half an hour. No other symptoms.


Changed on 5/21/2021

VAERS ID: 946137 Before After
VAERS Form:2
Age:17.0
Sex:Male
Location:California
Vaccinated:2021-01-14
Onset:2021-01-14
Submitted:0000-00-00
Entered:2021-01-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3302 / 1 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Rash

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: HPV, 03/2015, fainted/vomited after hitting his head , 12 years old
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: No allergies Tho a little milk sensitivity (lactose) (lactose)
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Red rash appeared in both arms from shoulders to almost the elbows. No itching. Nurse gave Benadryl & Pepcid to slow symptoms. Rash went away within half an hour. No other symptoms.

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