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This is VAERS ID 1440422

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1440422
VAERS Form:2
Age:32.0
Sex:Male
Location:Texas
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 039C21A / 2 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: No adverse event, Inappropriate schedule of product administration

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
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: none
Allergies: none
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: The patient did not have a reaction he just received the vaccine 20 days after the 1st dose

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1440422&WAYBACKHISTORY=ON


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