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This is VAERS ID 1430649

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1430649
VAERS Form:2
Age:68.0
Sex:Female
Location:Texas
Vaccinated:2021-06-24
Onset:2021-06-26
Submitted:0000-00-00
Entered:2021-06-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Swelling, Tenderness, Contusion, Induration

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: Diltiazem Eliquis Pantoprazole Anoro Albuterol Sulfate Budesonide
Current Illness: COPD
Preexisting Conditions: COPD
Allergies: None known
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: A vein was swollen When massaged swollen went down Was sore to touch Turned into a big bruise and hard to the touch

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1430649&WAYBACKHISTORY=ON


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