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This is VAERS ID 1450907

History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1450907
VAERS Form:2
Age:51.0
Sex:Female
Location:D.C.
Vaccinated:2021-06-25
Onset:2021-06-25
Submitted:0000-00-00
Entered:2021-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 053C21A / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Dyspnoea, Heart rate increased, Syncope, Vomiting

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Ergocalciferol 1.25 MG (50000 UT) Capsule 1 capsule Orally weekly
Current Illness:
Preexisting Conditions: Vitamin D deficiency
Allergies: beef, lamb, alcohol, pork, chicken
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: During her observation time, patient complained of a rapid heart beat, shortness of breath, she had an episode of vomiting, and a syncopal episode. She was referred to a primary care physician for further evaluation. Her condition stabilized prior to discharge.

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