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This is VAERS ID 1236586

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1236586
VAERS Form:2
Age:44.0
Sex:Female
Location:Connecticut
Vaccinated:2021-04-01
Onset:2021-04-19
Submitted:0000-00-00
Entered:2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Abdominal distension, Pruritus, Vaccination site reaction, Induration

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: Wellbutrin and lexapro
Current Illness:
Preexisting Conditions: Anemic
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Hard red bump on arm where vaccine was injected. Also very itchy


Changed on 5/7/2021

VAERS ID: 1236586 Before After
VAERS Form:2
Age:44.0
Sex:Female
Location:Connecticut
Vaccinated:2021-04-01
Onset:2021-04-19
Submitted:0000-00-00
Entered:2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Abdominal distension, Pruritus, Vaccination site reaction, Induration

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: Wellbutrin and lexapro
Current Illness:
Preexisting Conditions: Anemic
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Hard red bump on arm where vaccine was injected. Also very itchy


Changed on 5/14/2021

VAERS ID: 1236586 Before After
VAERS Form:2
Age:44.0
Sex:Female
Location:Connecticut
Vaccinated:2021-04-01
Onset:2021-04-19
Submitted:0000-00-00
Entered:2021-04-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Abdominal distension, Pruritus, Vaccination site reaction, Induration

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: Wellbutrin and lexapro
Current Illness:
Preexisting Conditions: Anemic
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Hard red bump on arm where vaccine was injected. Also very itchy

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1236586&WAYBACKHISTORY=ON


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