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This is VAERS ID 1437465

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1437465
VAERS Form:2
Age:59.0
Sex:Female
Location:Texas
Vaccinated:2021-06-28
Onset:2021-06-29
Submitted:0000-00-00
Entered:2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Pharmacy      Purchased by: ??
Symptoms: Fatigue, Headache, Lymphadenopathy, Pyrexia

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: Amlodipine, cymbalta, Allegra, Benadryl, aspirin, vit D, temazapan
Current Illness: Allergies, chronic lymphocytic leukemia, Ehlers Danlos Syndrome
Preexisting Conditions: Chronic lymphocytic leukemia, Ehlers Danlos syndrome
Allergies: Iodine, penicillins, avocados, bananas, melons, nuts, shellfish,
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Fever of 102.7 for 21 hours, starting at midnight on day of vaccine (14 hours later), headache, swollen lymph nodes in neck, armpits and groin, nausea , extreme fatigue. With the exception of fever, the other reactions are continuing throughout day three.

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