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This is VAERS ID 1405330

History of Changes from the VAERS Wayback Machine

First Appeared on 6/18/2021

VAERS ID: 1405330
VAERS Form:2
Age:33.0
Sex:Female
Location:Pennsylvania
Vaccinated:2021-05-28
Onset:2021-06-03
Submitted:0000-00-00
Entered:2021-06-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 RA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Muscle twitching, Paraesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: Tingling sensation around left shin.
Other Medications: Famotidine
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Tingling sensation around right knee, then it was developed to muscle twitching around the same area. It happened randomly. No treatment for this condition.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1405330&WAYBACKHISTORY=ON


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