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This is VAERS ID 1328944

History of Changes from the VAERS Wayback Machine

First Appeared on 5/28/2021

VAERS ID: 1328944
VAERS Form:2
Age:43.0
Sex:Female
Location:California
Vaccinated:2021-05-18
Onset:2021-05-18
Submitted:0000-00-00
Entered:2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 027C21A / 2 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Blood glucose decreased, Dizziness, Dyspnoea, Haemoglobin normal, Palpitations

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Vitamin D3, Sertraline; Qvar reihaler; Prazosin Hydrochoride;
Current Illness: Vaginal Bleeding; obesity, umbilical hernia, red blood cell disorder.
Preexisting Conditions: Asthma, Chronic PTSD; Moderate Depression; Anxiety Disorder, Rheumatoid Arthritis, Syncope; migraine, hyperlipidemia, Vitamin D deficiency, Carpal Tunnel Syndrome, Obesity, Fatty liver, hiatal hernia, pulse irregular, ankle joint pain, with right talar osteochondral defect.
Allergies: Non listed.
Diagnostic Lab Data: 1:44 Vitals Pulse 74, BP 126/84, RR 22 SpO2100% 1:47 glucose 83 and hgb 15. Adminstered apple juice
CDC 'Split Type':

Write-up: Patient reports feeling dizzy, heart racing, slight shortness of breath. had an egg for breakfast today.

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