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This is VAERS ID 1168528

History of Changes from the VAERS Wayback Machine

First Appeared on 5/21/2021

VAERS ID: 1168528
VAERS Form:2
Age:31.0
Sex:Female
Location:Illinois
Vaccinated:2021-04-01
Onset:2021-04-02
Submitted:0000-00-00
Entered:2021-04-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 018B21A / 1 - / IM

Administered by: Private      Purchased by: ??
Symptoms: Breast feeding, Maternal exposure during breast feeding

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: The patient is breast-feeding her 10 month old son, and the child developed a persistent fever of 100 - 103 F. starting 12-24 hours after vaccination and still persisting on day #4 after vaccination.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1168528&WAYBACKHISTORY=ON


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