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This is VAERS ID 1370974

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1370974
VAERS Form:2
Age:33.0
Sex:Male
Location:Indiana
Vaccinated:2021-06-01
Onset:2021-06-01
Submitted:0000-00-00
Entered:2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 035C21A / 2 LA / SYR

Administered by: Public      Purchased by: ??
Symptoms: Vaccine positive rechallenge

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: Same symptoms as on 2nd dose
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: Ibuprofen
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Flu like symptoms. Extreme fatigue, body aches, back pain, joint pain, chills and fever.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1370974&WAYBACKHISTORY=ON

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