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This is VAERS ID 1347003

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1347003
VAERS Form:2
Age:41.0
Sex:Female
Location:Delaware
Vaccinated:2021-05-21
Onset:2021-05-22
Submitted:0000-00-00
Entered:2021-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 80777-0273-15 / 1 LA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Injection site induration, Injection site pain, Lymph node pain

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, echinacea, spirulina, vitamin D, elderberry
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pain (hardness and burning sensation) in the left arm (injection site) in the lymph nodes in the back of the arm. Still occurring 4 days after receiving the injection.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1347003&WAYBACKHISTORY=ON


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