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This is VAERS ID 1440765

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1440765
VAERS Form:2
Age:66.0
Sex:Female
Location:North Carolina
Vaccinated:2021-07-01
Onset:2021-07-01
Submitted:0000-00-00
Entered:2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 053C21A / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Immune system disorder

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: Unknown
Current Illness: Unknown
Preexisting Conditions: Weakened immune system cause unknown
Allergies: Unknown
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: Health care professional administered an expired dose of vaccine in the patient.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1440765&WAYBACKHISTORY=ON


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