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This is VAERS ID 1427776

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1427776
VAERS Form:2
Age:68.0
Sex:Male
Location:Unknown
Vaccinated:2021-06-21
Onset:2021-06-21
Submitted:0000-00-00
Entered:2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Chills, Headache, Pyrexia

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: carbamazepine, primidone, Vitamin C, Vitamin D, B6, Magnesium, Naproxen
Current Illness:
Preexisting Conditions: Epilepsy, arthritis,
Allergies: benadryl,
Diagnostic Lab Data: N/A--Called Dr to report then called other agency to send a report
CDC 'Split Type':

Write-up: high fever, severe chills, teeth chattering, pounding headache lasting 30 hours

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1427776&WAYBACKHISTORY=ON


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