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This is VAERS ID 1450681

History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1450681
VAERS Form:2
Age:64.0
Sex:Male
Location:New York
Vaccinated:2021-06-23
Onset:2021-06-25
Submitted:0000-00-00
Entered:2021-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 012MZOA / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Tinnitus, Ear, nose and throat examination

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: Simvastatin, Metoprolol, Valsartan, Prilosec
Current Illness: None
Preexisting Conditions: Heart Disease
Allergies: Ceclor
Diagnostic Lab Data: Had an ear test performed by ENT
CDC 'Split Type':

Write-up: Tinnitus in right ear two days after first shot Continues to hear hissing sound.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1450681&WAYBACKHISTORY=ON


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