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This is VAERS ID 1371835

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1371835
VAERS Form:2
Age:29.0
Sex:Female
Location:Michigan
Vaccinated:2021-06-02
Onset:2021-06-03
Submitted:0000-00-00
Entered:2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 - / IM

Administered by: Private      Purchased by: ??
Symptoms: Abdominal pain, Dysuria, Fatigue, Headache, Myalgia, Pyrexia

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Triamcinolone prn, famotidine 20mg BID, Flonase, Aripiprazole, Strattera, Depo-Provera, Atorvastatin, Loratadine, Flovent 110 BID
Current Illness: None
Preexisting Conditions: Obesity, GERD, ADHD, Sleep apnea, Asthma, Dyslipidemia
Allergies: NKA
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Fever up to 101.9F, fatigue, myalgia, abdominal pain, dysuria, headache. Pt declined treatment, opted to go to ER for evaluation

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1371835&WAYBACKHISTORY=ON


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