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This is VAERS ID 1240900

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1240900
VAERS Form:2
Age:50.0
Sex:Female
Location:Michigan
Vaccinated:2021-04-20
Onset:2021-04-21
Submitted:0000-00-00
Entered:2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / SYR

Administered by: School      Purchased by: ??
Symptoms: Chills, Insomnia, Lymphadenopathy, Pyrexia

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

Write-up: 102 fever Every lymph node in body sore and swollen Chills Insomnia


Changed on 5/7/2021

VAERS ID: 1240900 Before After
VAERS Form:2
Age:50.0
Sex:Female
Location:Michigan
Vaccinated:2021-04-20
Onset:2021-04-21
Submitted:0000-00-00
Entered:2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / SYR

Administered by: School      Purchased by: ??
Symptoms: Chills, Insomnia, Lymphadenopathy, Pyrexia

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

Write-up: 102 fever Every lymph node in body sore and swollen Chills Insomnia


Changed on 5/14/2021

VAERS ID: 1240900 Before After
VAERS Form:2
Age:50.0
Sex:Female
Location:Michigan
Vaccinated:2021-04-20
Onset:2021-04-21
Submitted:0000-00-00
Entered:2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / SYR

Administered by: School      Purchased by: ??
Symptoms: Chills, Insomnia, Lymphadenopathy, Pyrexia

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

Write-up: 102 fever Every lymph node in body sore and swollen Chills Insomnia

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1240900&WAYBACKHISTORY=ON


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