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This is VAERS ID 2420144

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History of Changes from the VAERS Wayback Machine

Color Schemes (Before/After):

First Appeared on 8/26/2022

VAERS ID: 2420144
VAERS Form: 2
Age: 4.0
Sex: Female
Location: Pennsylvania
Vaccinated: 2022-08-25
Onset: 2022-08-25
Submitted: 0000-00-00
Entered: 2022-08-25
Vaccin­ation / Manu­facturer (2 vaccines) Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA AS1412B / 2 LA / IM
FLU4: INFLUENZA (SEASONAL) (FLUZONE HIGH-DOSE QUADRIVALENT) / SANOFI PASTEUR UT7682LA / N/A LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Rash, Rash maculo-papular

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: none
Current Illness: URI (cough and rhinorrhea) 3 weeks prior to vaccination
Preexisting Conditions: autism
Allergies: none
Diagnostic Lab Data: n/a
CDC 'Split Type':

Write-up: maculopapular rash on bil;ateral arms and legss and mildly also on abdomen, starting ~30mins after vaccines in left arm. No anaphylaxis (no hives, no hypotension, no GI sx, no wheezing). Rash started to fade over next 20-30. Not fully gone at 1hr when discharged

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