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This is VAERS ID 1041955

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History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1041955
VAERS Form:2
Age:72.0
Sex:Female
Location:New York
Vaccinated:2021-02-11
Onset:2021-02-11
Submitted:0000-00-00
Entered:2021-02-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Abdominal discomfort, Dysphagia, Purpura, Throat clearing

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: The Over Age 65 flu vaccine at age 71. I was sick for three days afterward. Also twice when I was receiving regular allergy sho
Other Medications:
Current Illness:
Preexisting Conditions: epilepsy hypothyroid
Allergies: sulfa drugs, pets, environmental allergies, nylon, polyester
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Difficulty swallowing lasting one hour, had to continuously clear my throat of mucous, blood vessels burst under skin on both hands, gastrointestinal upset for three days.

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