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This is VAERS ID 1231967

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1231967
VAERS Form:2
Age:58.0
Sex:Male
Location:Pennsylvania
Vaccinated:2021-04-10
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 0371A21B / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Asthma, Dyspnoea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Asthmanefrin cut with water, through a nebulizer
Current Illness: Mild occasional asthma. I also theorize I contracted Farmers Lung fall of 2020 from cleaning a storage bin of moldy soybeans.
Preexisting Conditions: Mild asthma for the past 50 years, No need to treat beyond Primatene Mist
Allergies: Farmer, pollens and grain dusts
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Asthma, Shortness of breath increased in severity by 4/15 or so. Has continued until present. I start to run out of breath when I reach the top of my stairs. I recover appx 3 min of rest. No increases in severity for the past 5 days. No fever, phlem, or mucus. Only breathlessness. Easier to sleep on an incline. (I must move too much in bed.)


Changed on 5/7/2021

VAERS ID: 1231967 Before After
VAERS Form:2
Age:58.0
Sex:Male
Location:Pennsylvania
Vaccinated:2021-04-10
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 0371A21B / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Asthma, Dyspnoea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Asthmanefrin cut with water, through a nebulizer
Current Illness: Mild occasional asthma. I also theorize I contracted Farmers Lung fall of 2020 from cleaning a storage bin of moldy soybeans.
Preexisting Conditions: Mild asthma for the past 50 years, No need to treat beyond Primatene Mist
Allergies: Farmer, pollens and grain dusts dusts
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Asthma, Shortness of breath increased in severity by 4/15 or so. Has continued until present. I start to run out of breath when I reach the top of my stairs. I recover appx 3 min of rest. No increases in severity for the past 5 days. No fever, phlem, or mucus. Only breathlessness. Easier to sleep on an incline. (I must move too much in bed.)


Changed on 5/14/2021

VAERS ID: 1231967 Before After
VAERS Form:2
Age:58.0
Sex:Male
Location:Pennsylvania
Vaccinated:2021-04-10
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 0371A21B / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Asthma, Dyspnoea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Asthmanefrin cut with water, through a nebulizer
Current Illness: Mild occasional asthma. I also theorize I contracted Farmers Lung fall of 2020 from cleaning a storage bin of moldy soybeans.
Preexisting Conditions: Mild asthma for the past 50 years, No need to treat beyond Primatene Mist
Allergies: Farmer, pollens and grain dusts dusts
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Asthma, Shortness of breath increased in severity by 4/15 or so. Has continued until present. I start to run out of breath when I reach the top of my stairs. I recover appx 3 min of rest. No increases in severity for the past 5 days. No fever, phlem, or mucus. Only breathlessness. Easier to sleep on an incline. (I must move too much in bed.)

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1231967&WAYBACKHISTORY=ON


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