National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1438447

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1438447
VAERS Form:2
Age:59.0
Sex:Male
Location:Texas
Vaccinated:2021-06-06
Onset:2021-06-29
Submitted:0000-00-00
Entered:2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 049C21A / 2 LA / -

Administered by: Unknown      Purchased by: ??
Symptoms: Chest pain, Dizziness, Dyspnoea, Gait disturbance, Headache, Dysstasia

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: None
Preexisting Conditions: High blood pressure
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Chest pain, trouble walking ,trouble Standing,headache ,dizzy,hard to breath

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1438447&WAYBACKHISTORY=ON


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166