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This is VAERS ID 1347901

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1347901
VAERS Form:2
Age:58.0
Sex:Female
Location:Virginia
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 037B21A / 2 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Headache, Hypoaesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: blood tests,
CDC 'Split Type':

Write-up: left face numb, headache

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1347901&WAYBACKHISTORY=ON


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