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This is VAERS ID 1089009

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History of Changes from the VAERS Wayback Machine

First Appeared on 5/7/2021

VAERS ID: 1089009
VAERS Form:2
Age:16.0
Sex:Male
Location:Nevada
Vaccinated:2021-03-07
Onset:2021-03-09
Submitted:0000-00-00
Entered:2021-03-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Public      Purchased by: ??
Symptoms: Cough, Dyspnoea, Rhinitis

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: tylenol
Current Illness:
Preexisting Conditions:
Allergies: albuterol causes increased heart rate
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: rhinitis and shortness of breath with cough around 18 hours post vaccination. Now at 48 hours post vaccination doing much better with mild cough.


Changed on 5/14/2021

VAERS ID: 1089009 Before After
VAERS Form:2
Age:16.0
Sex:Male
Location:Nevada
Vaccinated:2021-03-07
Onset:2021-03-09
Submitted:0000-00-00
Entered:2021-03-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Public      Purchased by: ??
Symptoms: Cough, Dyspnoea, Rhinitis

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: tylenol
Current Illness:
Preexisting Conditions:
Allergies: albuterol causes increased heart rate rate
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: rhinitis and shortness of breath with cough around 18 hours post vaccination. Now at 48 hours post vaccination doing much better with mild cough.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1089009&WAYBACKHISTORY=ON


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