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This is VAERS ID 1371784

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1371784
VAERS Form:2
Age:68.0
Sex:Male
Location:Iowa
Vaccinated:2021-02-17
Onset:2021-06-01
Submitted:0000-00-00
Entered:2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 002C21A / 3 RA / IM

Administered by: Public      Purchased by: ??
Symptoms: Extra dose administered

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: n/a
Current Illness: liver transplant
Preexisting Conditions: liver transplant
Allergies: n/a
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient rec''d 3 Moderna vaccines. He rec''d his first one on 2/17/21. He then rec''d a liver transplant on 3/21/21. His doctor told him to start the Moderna series over again. He rec''d a second vaccine on 4/29/21 and a third vaccine on 6/1/21.

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