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This is VAERS ID 1240242

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1240242
VAERS Form:2
Age:33.0
Sex:Female
Location:Washington
Vaccinated:2021-04-13
Onset:2021-04-21
Submitted:0000-00-00
Entered:2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: School      Purchased by: ??
Symptoms: Injection site erythema, Pruritus

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: Flu shot I received two years ago. Had raised red circle at injection site immediately following shot that last 24 hours
Other Medications: Vitamin d, vitamin c, thyroid support, hormone support, probiotics, motility complex for mmc
Current Illness: None
Preexisting Conditions: Reduced immune function and poor gut health
Allergies: Sulfa,
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Red circle at injection site and other red circle on same arm appeared eight days after first shot. Itchy.


Changed on 5/7/2021

VAERS ID: 1240242 Before After
VAERS Form:2
Age:33.0
Sex:Female
Location:Washington
Vaccinated:2021-04-13
Onset:2021-04-21
Submitted:0000-00-00
Entered:2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: School      Purchased by: ??
Symptoms: Injection site erythema, Pruritus

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: Flu shot I received two years ago. Had raised red circle at injection site immediately following shot that last 24 hours
Other Medications: Vitamin d, vitamin c, thyroid support, hormone support, probiotics, motility complex for mmc
Current Illness: None
Preexisting Conditions: Reduced immune function and poor gut health
Allergies: Sulfa, Sulfa,
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Red circle at injection site and other red circle on same arm appeared eight days after first shot. Itchy.


Changed on 5/14/2021

VAERS ID: 1240242 Before After
VAERS Form:2
Age:33.0
Sex:Female
Location:Washington
Vaccinated:2021-04-13
Onset:2021-04-21
Submitted:0000-00-00
Entered:2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: School      Purchased by: ??
Symptoms: Injection site erythema, Pruritus

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: Flu shot I received two years ago. Had raised red circle at injection site immediately following shot that last 24 hours
Other Medications: Vitamin d, vitamin c, thyroid support, hormone support, probiotics, motility complex for mmc
Current Illness: None
Preexisting Conditions: Reduced immune function and poor gut health
Allergies: Sulfa, Sulfa,
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Red circle at injection site and other red circle on same arm appeared eight days after first shot. Itchy.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1240242&WAYBACKHISTORY=ON


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