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This is VAERS ID 1375980

History of Changes from the VAERS Wayback Machine

First Appeared on 6/11/2021

VAERS ID: 1375980
VAERS Form:2
Age:65.0
Sex:Female
Location:Unknown
Vaccinated:2021-05-27
Onset:2021-06-04
Submitted:0000-00-00
Entered:2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: No adverse event

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: Quinapril B-complex vitamin Glucosamine/condroitin Milk thistle
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: None stated.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1375980&WAYBACKHISTORY=ON


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