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This is VAERS ID 1371202

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1371202
VAERS Form:2
Age:30.0
Sex:Female
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 - / 2 RA / -

Administered by: Unknown      Purchased by: ??
Symptoms: Chills, Fatigue, Headache, Pain in extremity, Pyrexia

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:
Other Medications: Lexapro Zyrtec
Current Illness:
Preexisting Conditions:
Allergies: Morphine
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Chills Fever Headache Fatigue Arm soreness

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1371202&WAYBACKHISTORY=ON


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