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This is VAERS ID 1440228

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1440228
VAERS Form:2
Age:43.0
Sex:Male
Location:Indiana
Vaccinated:2021-06-29
Onset:2021-06-29
Submitted:0000-00-00
Entered:2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 021B21A / 2 LA / SYR

Administered by: Public      Purchased by: ??
Symptoms: Arthralgia, Chills, Dyspnoea, Fatigue, Headache, Pain

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:
Other Medications: None
Current Illness: None
Preexisting Conditions: Asthma
Allergies: None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Severe Cold chills, headache, shortness of breath, joint an body aches an pain, fatigue. Used ibuprofen and albuterol, only lasted a day

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