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This is VAERS ID 1348305

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1348305
VAERS Form:2
Age:44.0
Sex:Female
Location:Texas
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 022B21A / 1 LA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Dizziness, Flushing, Ocular hyperaemia, Throat irritation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: No
Current Illness: Na
Preexisting Conditions: Na
Allergies: Na
Diagnostic Lab Data: Na
CDC 'Split Type':

Write-up: Flushed face, blood shot eyes, felt light headed,itchy throat, took 50mg benadryl. Felt fine about 1 hour later

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