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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA||UNKNOWN / 2||- / IM|
Administered by: Unknown Purchased by: ??
Symptoms: Fatigue, Parosmia, Pulmonary congestion, Taste disorder, COVID-19, SARS-CoV-2 test positive
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Other Medications: bupropion, Nuvaring, fluticasone Nasal, Advair Diskus
Preexisting Conditions: Frequent headaches, asthma, hypercholesterolemia, chronic neck pain, depression with anxiety, seasonal allergies, LGSIL on pap smear of cervix.
Allergies: Vicodin, environmental (unspecified)
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Pt received both doses of the Moderna COVID-19 vaccines, one on 1/19/21 and the second on 2/16. No lot number is located either in patient chart or state vaccine electronic registry (WIR). For location, there was only a number listed, "11029", on both entries. Writer will be unable to obtain any further vaccination information. Pt then tested positive after a trip. Pt was negative on 5/27/21, and then tested positive via PCR on 6/4/2021 at an outpatient drive through testing site. Pt reports chest congestion, altered taste and smell, and fatigue, since 5/31/2021. No other symptoms, pt was not ill enough to be hospitalized. Sample will be submitted via state testing for variant testing.
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