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This is VAERS ID 1347049

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1347049
VAERS Form:2
Age:56.0
Sex:Male
Location:Michigan
Vaccinated:2021-05-22
Onset:2021-05-22
Submitted:0000-00-00
Entered:2021-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 044B21A / 2 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Dizziness

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: Unknown
Current Illness: Unknown
Preexisting Conditions: High Blood Pressure
Allergies: Unknown
Diagnostic Lab Data: Unknown
CDC 'Split Type':

Write-up: Patient stated that he has been experiencing dizziness since the first dose of the COVID-19 Moderna shot.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1347049&WAYBACKHISTORY=ON


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