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This is VAERS ID 1366597

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1366597
VAERS Form:2
Age:63.0
Sex:Female
Location:Florida
Vaccinated:2021-04-29
Onset:2021-06-02
Submitted:0000-00-00
Entered:2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 036B21A / UNK LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Ageusia, Anosmia, Arthralgia, Dry eye, Dry mouth, Dry skin, Fatigue, Immune system disorder, Myalgia, Urine analysis, Blood test

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: Atenolol, Synthroid, Atorvastatin, Sertraline, Duloxetine, Buspar, Oxybutynin, Fentanyl patch
Current Illness: None
Preexisting Conditions: Degenerative disc disease, osteoarthritis, chronic pain,
Allergies: Lactose intolerant
Diagnostic Lab Data: Blood tests, urine sample
CDC 'Split Type':

Write-up: No taste, no smell, fatigue, dry eyes, no saliva, extra dry skin, sore joints and muscles. Immune system attacking

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1366597&WAYBACKHISTORY=ON

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