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This is VAERS ID 1343838

History of Changes from the VAERS Wayback Machine

First Appeared on 5/28/2021

VAERS ID: 1343838
VAERS Form:2
Age:62.0
Sex:Male
Location:Unknown
Vaccinated:2021-03-23
Onset:2021-05-02
Submitted:0000-00-00
Entered:2021-05-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 046A21A / 2 UN / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Subarachnoid haemorrhage

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)? Yes
Hospitalized? Yes, days: 10     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient presented to the ED and was subsequently hospitalized within 6 weeks of receiving COVID vaccination. Diagnosis was subarachnoid hemorrhage.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1343838&WAYBACKHISTORY=ON


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