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This is VAERS ID 1434913

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1434913
VAERS Form:2
Age:18.0
Sex:Female
Location:Unknown
Vaccinated:2021-06-30
Onset:2021-06-30
Submitted:0000-00-00
Entered:2021-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 026C21A / 1 RA / IM

Administered by: Military      Purchased by: ??
Symptoms: Dizziness

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: None
Current Illness: N/a
Preexisting Conditions: N/a
Allergies: None
Diagnostic Lab Data: N/a
CDC 'Split Type':

Write-up: Pt began to feel light headed and began to vomit. Pt was taken back to a pt room were vital were taken which were normal. Pt began to feel normal again after about 15 minutes.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1434913&WAYBACKHISTORY=ON


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