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This is VAERS ID 1437684

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1437684
VAERS Form:2
Age:66.0
Sex:Female
Location:Nevada
Vaccinated:2021-05-21
Onset:2021-06-04
Submitted:0000-00-00
Entered:2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 008C21A / 1 LA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Bell's palsy, Chest X-ray, Computerised tomogram, Blood test

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: Verapamil 120mg citalopram 20 mg Bupropion XL 300mg Bayer aspirin 81mg multi vitamin gummie osteo biflex calcium chew fiber gummie B12 1000mcg D3 25 mcg Aleve
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Trip to ER where they performed CAT scan, chest x-ray, and blood work follow up tests scheduled: MRA scan, echo ultrasound, and carotid scan
CDC 'Split Type':

Write-up: Developed Bell''s Pasly two weeks after injection

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1437684&WAYBACKHISTORY=ON


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