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This is VAERS ID 1440920

History of Changes from the VAERS Wayback Machine

First Appeared on 7/2/2021

VAERS ID: 1440920
VAERS Form:2
Age:28.0
Sex:Female
Location:California
Vaccinated:2021-06-30
Onset:2021-07-01
Submitted:0000-00-00
Entered:2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Chest pain, Fatigue, Neck pain, Pain, Renal pain

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: Abilify, cymbalta
Current Illness: None
Preexisting Conditions: Anxiety, Depression, Opioid use disorder
Allergies: None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Chest pain, right sided kidney pain. Pain is pressure like with radiation to the left neck. Also with fatigue.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1440920&WAYBACKHISTORY=ON


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