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This is VAERS ID 1328988

History of Changes from the VAERS Wayback Machine

First Appeared on 5/28/2021

VAERS ID: 1328988
VAERS Form:2
Age:35.0
Sex:Female
Location:Oregon
Vaccinated:2021-05-11
Onset:2021-05-18
Submitted:0000-00-00
Entered:2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Erythema, Mass, Pruritus

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: Multivitamin
Current Illness:
Preexisting Conditions:
Allergies: Amoxicillin
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Itchy red lump

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1328988&WAYBACKHISTORY=ON


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