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This is VAERS ID 1371680

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1371680
VAERS Form:2
Age:54.0
Sex:Female
Location:Maryland
Vaccinated:2021-06-03
Onset:2021-06-03
Submitted:0000-00-00
Entered:2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 041C21A / 2 LA / IM

Administered by: Other      Purchased by: ??
Symptoms: Palpitations

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Feeling like having heart "palpitations." @13:46 B.P.192/131 100% Puls: 86 @13:51 B.P.200/109 100% Pulse: 80 @13:58 B.P. 178/97 100% Pulse: 85 Stated takes blood pressure medications " going home to take medication now."

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1371680&WAYBACKHISTORY=ON


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