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This is VAERS ID 1329851

History of Changes from the VAERS Wayback Machine

First Appeared on 5/28/2021

VAERS ID: 1329851
VAERS Form:2
Age:48.0
Sex:Male
Location:Iowa
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 041C21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Arthralgia, Fatigue, Gait disturbance, Headache, Myalgia, Nausea, Pyrexia

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: None
Current Illness: None
Preexisting Conditions: Obesity Prediabetes
Allergies: None
Diagnostic Lab Data: None at this time
CDC 'Split Type':

Write-up: Onset nausea. increase myalgia, fever. Now difficult ambulating did to myalgia and arthralgia. Fever 101.7 and headache with fatigue

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1329851&WAYBACKHISTORY=ON


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