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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA||- / 1||LA / IM|
Administered by: Pharmacy Purchased by: ??
Symptoms: Breast feeding
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Other Medications: -wellbutrin -zoloft -prenatal vitamins -vitamin C -vitamin D
Current Illness: N/A
Preexisting Conditions: Migraines; anxiety; depression
Allergies: -Bactrum -gluten -pineapple
Diagnostic Lab Data: Visit to the pediatrician - 3/29/2021 (7 days after the vaccine was administered) -Visit determined that the 15-month-old had an ear infection and required antibiotics
CDC 'Split Type':
Write-up: The patient who received the vaccine was a breastfeeding mother. Her 15-month-old developed an ear infection, requiring antibiotics for the first time ever, within 72 hours of the vaccine administration. Her 15-month-old developed a fever of 102.6 approximately 6 days after the vaccine was administered. He then was prescribed antibiotics 7 full days after the vaccine was administered to the mother.
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