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This is VAERS ID 1446102

History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1446102
VAERS Form:2
Age:50.0
Sex:Female
Location:Kentucky
Vaccinated:2021-06-01
Onset:2021-06-25
Submitted:0000-00-00
Entered:2021-07-03
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
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: Iron tablet
Current Illness: NA
Preexisting Conditions: Restless leg syndrome, anxiety
Allergies: NA
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

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1446102&WAYBACKHISTORY=ON


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