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This is VAERS ID 1372041

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1372041
VAERS Form:2
Age:47.0
Sex:Female
Location:Pennsylvania
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 - / UNK - / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Gait disturbance, Muscle spasms, Myalgia, Pain, Rash

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: Topirimate, Tizanidine, Cetirizine, Blisovi 24, Loratadine
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Rash all over my body and uncontrollable painful muscle spasms all over my body to the point that I could barely walk.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1372041&WAYBACKHISTORY=ON


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