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This is VAERS ID 1368107

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1368107
VAERS Form:2
Age:65.0
Sex:Female
Location:Iowa
Vaccinated:2021-05-24
Onset:2021-06-01
Submitted:0000-00-00
Entered:2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 047CZIA / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Injection site cellulitis

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: Topamax 100mg, Trazodone 100mg, Effexor XR 75 and 150 mg, Requip 1 mg, Emgality 200 mg,
Current Illness: n/a
Preexisting Conditions: Epilepsy, anemia,
Allergies: Tramadol, Benadryl, Lyrica,
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: Cellulitis Left am at injection site Dr put me on antibiotics for 10 dats

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1368107&WAYBACKHISTORY=ON


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