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||039C21A / 1||RA / IM|
Administered by: Pharmacy Purchased by: ??
Symptoms: Blepharospasm, Dysgeusia, Hypoaesthesia, Vision blurred, Visual impairment
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: 1. Lisinopril-HCTZ 20-12.5mg qd 2. Pantoprazole 40mg bid
Current Illness: None
Preexisting Conditions: 1. blood pressure 2. acid reflux
Allergies: 1. Soma -blotchy red spots
Diagnostic Lab Data: none
CDC 'Split Type':
Write-up: 1. Odd taste in mouth -metallic taste 5 minutes after the vaccine -still experiencing this symptom. No treatment has not call primary care provider. 2. Left eye started twitching and visual issues including blurry vision and seeing three images. Started 5 minutes after vaccine -still experiencing symptom. No treatment has not call primary care provider. 3. Left hand is numb, this started a couple days after the vaccine -not sure of date and is still experiencing this symptom. No treatment has not call primary care provider.
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