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This is VAERS ID 1437605

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1437605
VAERS Form:2
Age:63.0
Sex:Female
Location:South Carolina
Vaccinated:2021-06-17
Onset:2021-06-21
Submitted:0000-00-00
Entered:2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 RA / -

Administered by: Private      Purchased by: ??
Symptoms: Blister

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: Pain
Other Medications: At night: 1 x Benicar 5mg prescription & 1tbsp Elderberry syrup health food store Day: 1 x Cymbalta 30mg, 1 x Zyrtec 10mg both prescriptions Supplements from Trivani 1 x Vitamin C 135mg 1 x Vitamin D 2000IU 1 x Magnesium 400mg 1 x Immu
Current Illness: None
Preexisting Conditions: Sick building Syndrome exposed to black mold 2002-2005
Allergies: Codeine
Diagnostic Lab Data: None
CDC 'Split Type': HT475

Write-up: Started getting blisters on hands and leg

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1437605&WAYBACKHISTORY=ON


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