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This is VAERS ID 1246152

History of Changes from the VAERS Wayback Machine

First Appeared on 5/7/2021

VAERS ID: 1246152
VAERS Form:2
Age:61.0
Sex:Female
Location:Massachusetts
Vaccinated:2021-04-18
Onset:2021-04-19
Submitted:0000-00-00
Entered:2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / SYR

Administered by: Unknown      Purchased by: ??
Symptoms: Influenza like illness, Loss of consciousness, Blood test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: levoxythyrone, metoprolol, vit c, multi vitamin, betaine, ayur-triphala
Current Illness: none
Preexisting Conditions: none serious. Minor GI issues.
Allergies: none
Diagnostic Lab Data: blood test next day
CDC 'Split Type':

Write-up: flu like symptoms loss of consciousness next day


Changed on 5/14/2021

VAERS ID: 1246152 Before After
VAERS Form:2
Age:61.0
Sex:Female
Location:Massachusetts
Vaccinated:2021-04-18
Onset:2021-04-19
Submitted:0000-00-00
Entered:2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / SYR

Administered by: Unknown      Purchased by: ??
Symptoms: Influenza like illness, Loss of consciousness, Blood test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: levoxythyrone, metoprolol, vit c, multi vitamin, betaine, ayur-triphala
Current Illness: none
Preexisting Conditions: none serious. Minor GI issues.
Allergies: none none
Diagnostic Lab Data: blood test next day
CDC 'Split Type':

Write-up: flu like symptoms loss of consciousness next day

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1246152&WAYBACKHISTORY=ON


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