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This is VAERS ID 1301076

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1301076
VAERS Form:2
Age:23.0
Sex:Female
Location:Minnesota
Vaccinated:2021-04-12
Onset:2021-05-02
Submitted:0000-00-00
Entered:2021-05-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 002B21A / 1 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Chest pain, Dyspnoea, Muscle spasms, Pulmonary embolism

Life Threatening? Yes
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? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Mircette
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: experienced a leg cramp beginning Sunday, May 2. Went in to the ER Tuesday, May 11 with chest pains/short of breath. Diagnosed with bilateral pulmonary embolism. Put on blood thinners for next three months.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1301076&WAYBACKHISTORY=ON


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