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This is VAERS ID 1029624

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History of Changes from the VAERS Wayback Machine

First Appeared on 5/21/2021

VAERS ID: 1029624
VAERS Form:2
Age:32.0
Sex:Female
Location:Massachusetts
Vaccinated:2021-01-22
Onset:2021-01-22
Submitted:0000-00-00
Entered:2021-02-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 012L20A / 2 LA / IM

Administered by: Work      Purchased by: ??
Symptoms: Full blood count normal, Lymphadenopathy, Petechiae, Platelet count normal, Presyncope, White blood cell count decreased, Metabolic function test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Prazosin, straterra, Wellbutrin XL, Lamictal, vitamin b12
Current Illness: None
Preexisting Conditions: PTSD
Allergies: None
Diagnostic Lab Data: CBC normal except WBC slightly low (3.6), platelets normal CMP normal
CDC 'Split Type':

Write-up: 1/22 - near syncope 2/7 - right axillary lymphadenopathy 2/8 - petichiae to right earlobe

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