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This is VAERS ID 1437447

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1437447
VAERS Form:2
Age:67.0
Sex:Male
Location:Michigan
Vaccinated:2021-03-17
Onset:2021-06-29
Submitted:0000-00-00
Entered:2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 - / -

Administered by: Private      Purchased by: ??
Symptoms: SARS-CoV-2 test positive, Asymptomatic COVID-19

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Positive COVID 19 test result when prescreening done for orthopedic surgery. ASYMPTOMATIC

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1437447&WAYBACKHISTORY=ON


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