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This is VAERS ID 1382035

History of Changes from the VAERS Wayback Machine

First Appeared on 6/11/2021

VAERS ID: 1382035
VAERS Form:2
Age:32.0
Sex:Female
Location:Pennsylvania
Vaccinated:2021-06-03
Onset:2021-06-04
Submitted:0000-00-00
Entered:2021-06-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 005C21A / 2 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Chest pain, Hypoaesthesia

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: Unknown
Preexisting Conditions: Unknown
Allergies: Patient denied.
Diagnostic Lab Data: Unknown.
CDC 'Split Type':

Write-up: Patient reported intermittent chest pain and numbness in her extremities that began approximately 12 hours after receiving the vaccine and ceased after 24 hours.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1382035&WAYBACKHISTORY=ON


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