Your Health. Your Family. Your Choice.
|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA||017C21A / 2||RA / SYR|
Administered by: Other Purchased by: ??
Symptoms: Chills, Diarrhoea, Electrocardiogram, Headache, Nausea, Pain, Pyrexia, Vomiting, Laboratory test
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Other Medications: Iron tablet
Current Illness: NA
Preexisting Conditions: Restless leg syndrome, anxiety
Diagnostic Lab Data: 06/28/21 went to family Dr had ekg test and lab work done. Then June 30 emergency room sent by family dr had complete work up labs, ekg, chest pe protocol.
CDC 'Split Type':
Write-up: First 2 days fever, chills, headache, aching. Then soa, headache, diarrhea, nausea vomiting still going on as of 07/03/2021
Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166