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This is VAERS ID 1379529

History of Changes from the VAERS Wayback Machine

First Appeared on 6/11/2021

VAERS ID: 1379529
VAERS Form:2
Age:20.0
Sex:Female
Location:Indiana
Vaccinated:2021-06-04
Onset:2021-06-04
Submitted:0000-00-00
Entered:2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Chills, Dizziness, Feeling abnormal, Headache, Insomnia, Nausea, Pain, Pyrexia, Feeding disorder

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: prozac magnesium vitamin b complex
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: 6/4/21 at 9:20pm
CDC 'Split Type':

Write-up: symptoms: fever (up to 102) chills headache dizziness naesous body aches treatment: ibuprofen outcome: miserable, couldn?t sleep or eat and the fever wouldn?t break. the ibuprofen made the headache go away

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1379529&WAYBACKHISTORY=ON


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