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This is VAERS ID 1371122

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1371122
VAERS Form:2
Age:31.0
Sex:Female
Location:Unknown
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 024C21A / 2 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Chills, Fatigue, Pain

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: Slight body aches and fatigue
Other Medications: None
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Tree nut allergy
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Slight body aches started ~8 hours after injection, followed by chills, fatigue, and body aches at ~10 hours after injection. Took 2 Tylenol (500 mg each) at 12 hours after injection. 24 hours after injection, slight body aches and fatigue persisted. Took 2 Tylenol again at ~26 hours and at ~31 hours after injection to help relieve body aches. 48 hours after injection, no side effects were present.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1371122&WAYBACKHISTORY=ON


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