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This is VAERS ID 1444150

History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1444150
VAERS Form:2
Age:24.0
Sex:Female
Location:Missouri
Vaccinated:2021-06-28
Onset:2021-06-29
Submitted:0000-00-00
Entered:2021-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 078C21A / 1 LA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Back pain, Injection site erythema, Injection site pain, Myalgia, Neck pain, Pain, Pyrexia, Axillary pain, Injection site swelling

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

Write-up: Fever, body aches, swollen injection site, red injection site, sore injection site, sore muscles in back, neck and arm pit on left side

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1444150&WAYBACKHISTORY=ON


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