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This is VAERS ID 1376362

History of Changes from the VAERS Wayback Machine

First Appeared on 6/11/2021

VAERS ID: 1376362
VAERS Form:2
Age:37.0
Sex:Female
Location:Utah
Vaccinated:2021-05-31
Onset:2021-06-04
Submitted:0000-00-00
Entered:2021-06-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 033B21A / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Pain, Contusion

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: Venlafaxine, Trazodone
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Sore Itchy Bruising. About 2 dozen random sore to the touch bruises from dime size to quarter size and a little bigger all over body areas like top of shoulders, shoulder blades, mid back, lower back, sides, hips, thighs, knees, calves, etc. Noticed them about 4 days after the shot.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1376362&WAYBACKHISTORY=ON


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