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This is VAERS ID 1430507

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1430507
VAERS Form:2
Age:54.0
Sex:Male
Location:Guam
Vaccinated:2021-05-18
Onset:2021-06-26
Submitted:0000-00-00
Entered:2021-06-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / SYR

Administered by: Military      Purchased by: ??
Symptoms: Chest pain, Pain, Sneezing

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:
Other Medications: L Arginine, L Carnitine, Vitamin E Vitamin D3 Benadryl Ibuprofen
Current Illness:
Preexisting Conditions: PTSD Fatigue
Allergies: Bell pepper Hay fever
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: Allergy sneezing with body pain. arms L and R, across chest right side of face and neck

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1430507&WAYBACKHISTORY=ON

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