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This is VAERS ID 1430454

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1430454
VAERS Form:2
Age:75.0
Sex:Male
Location:California
Vaccinated:2021-06-25
Onset:2021-06-26
Submitted:0000-00-00
Entered:2021-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Asthenia, Influenza like illness, Pain, Bed rest

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: atorvastatin 10mg, ,multi vit. ,relief factor, vit d3, coq10sr, ocuvite
Current Illness: none
Preexisting Conditions: none
Allergies: have had allergic reaction to anti inflammatory drugs a few times
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: felt like i had the flu the next day. Ached all over no energy, stayed in bed all day

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1430454&WAYBACKHISTORY=ON

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