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This is VAERS ID 1241107

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1241107
VAERS Form:2
Age:31.0
Sex:Female
Location:Unknown
Vaccinated:2021-04-21
Onset:2021-04-21
Submitted:0000-00-00
Entered:2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 RA / SYR

Administered by: Military      Purchased by: ??
Symptoms: Chills, Discomfort, Heart rate, Nausea, Pain, Pyrexia, Skin warm

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: One-a-day multivitamin
Current Illness: N/A
Preexisting Conditions: Asthma
Allergies: Penicillin
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Heart rate of 125 while sleeping, low-grade fever (99.8), skin felt like fire to the touch, chills, body aches, nausea, ball ody parts felt heavy, everything that touched my body hurt, room temperature water felt like it was burning my skin


Changed on 5/7/2021

VAERS ID: 1241107 Before After
VAERS Form:2
Age:31.0
Sex:Female
Location:Unknown
Vaccinated:2021-04-21
Onset:2021-04-21
Submitted:0000-00-00
Entered:2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 RA / SYR

Administered by: Military      Purchased by: ??
Symptoms: Chills, Discomfort, Heart rate, Nausea, Pain, Pyrexia, Skin warm

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: One-a-day multivitamin
Current Illness: N/A
Preexisting Conditions: Asthma
Allergies: Penicillin Penicillin
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Heart rate of 125 while sleeping, low-grade fever (99.8), skin felt like fire to the touch, chills, body aches, nausea, ball ody parts felt heavy, everything that touched my body hurt, room temperature water felt like it was burning my skin


Changed on 5/14/2021

VAERS ID: 1241107 Before After
VAERS Form:2
Age:31.0
Sex:Female
Location:Unknown
Vaccinated:2021-04-21
Onset:2021-04-21
Submitted:0000-00-00
Entered:2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 RA / SYR

Administered by: Military      Purchased by: ??
Symptoms: Chills, Discomfort, Heart rate, Nausea, Pain, Pyrexia, Skin warm

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: One-a-day multivitamin
Current Illness: N/A
Preexisting Conditions: Asthma
Allergies: Penicillin Penicillin
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Heart rate of 125 while sleeping, low-grade fever (99.8), skin felt like fire to the touch, chills, body aches, nausea, ball ody parts felt heavy, everything that touched my body hurt, room temperature water felt like it was burning my skin

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1241107&WAYBACKHISTORY=ON


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