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This is VAERS ID 1375604

History of Changes from the VAERS Wayback Machine

First Appeared on 6/11/2021

VAERS ID: 1375604
VAERS Form:2
Age:61.0
Sex:Female
Location:Florida
Vaccinated:2021-06-01
Onset:2021-06-01
Submitted:0000-00-00
Entered:2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 033821A / 2 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Lymphadenopathy, Pain, Oropharyngeal pain

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: husband reported swollen axillary glands later that day after she was vaccinated. She also had throat pain and body aches. She took some advil for her pain

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1375604&WAYBACKHISTORY=ON


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