Your Health. Your Family. Your Choice.
|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA||027C21A / 1||LA / IM|
Administered by: Pharmacy Purchased by: ??
Symptoms: Chills, Diarrhoea, Dyspnoea, Nausea, Pain, Pyrexia
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Current Illness: None advised
Preexisting Conditions: Not known
Allergies: No known drug allergies
Diagnostic Lab Data: Not known
CDC 'Split Type':
Write-up: Breathing difficulty, Nausea, Diarrhea, Fever, Chills, Body Aches. Patient stated she had to go the emergency room on 6/4/2021
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