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||037C21A / 1||LA / SYR|
Administered by: Private Purchased by: ??
Symptoms: Chest pain, Chills, Erythema, Headache, Pruritus, Pyrexia, Vaccination site pain, Vaccination site swelling, Vaccination site warmth
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)? No
Other Medications: Multivitamin
Current Illness: Covid-19
Preexisting Conditions: None
Diagnostic Lab Data: None
CDC 'Split Type':
Write-up: Swelling, itching, pain, burning, redness, and warm to the touch at vaccination site on upper left arm. Fever fluctuating between 100 and 102 lasting 3 days. Headache for 3 days. Chills on first day of symptoms lasting about 10 hours. Sporadic pain in center of chest on second day of symptoms lasting about 8 hours.
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