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This is VAERS ID 1322473

History of Changes from the VAERS Wayback Machine

First Appeared on 5/28/2021

VAERS ID: 1322473
VAERS Form:2
Age:55.0
Sex:Female
Location:Idaho
Vaccinated:2021-04-26
Onset:2021-05-04
Submitted:0000-00-00
Entered:2021-05-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Headache, Tinnitus

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Multiple vitamin, calcium , Zolpidem( 5mg)
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Since Day 8 after the vaccine, started tinnitus and headache . Tinnitus is non-stop 24 hours, headache come everyday, sometimes morning A little less

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