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This is VAERS ID 1446628

History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1446628
VAERS Form:2
Age:37.0
Sex:Male
Location:Washington
Vaccinated:2021-04-21
Onset:2021-06-01
Submitted:0000-00-00
Entered:2021-07-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA O31B21A / 2 - / SYR

Administered by: Other      Purchased by: ??
Symptoms: Computerised tomogram, Pulmonary thrombosis, Ultrasound scan

Life Threatening? Yes
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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Nuvidual
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: CT scan ultrasound
CDC 'Split Type':

Write-up: Blood clot in my Lung

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1446628&WAYBACKHISTORY=ON


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