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This is VAERS ID 1454253

History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1454253
VAERS Form:2
Age:21.0
Sex:Male
Location:Unknown
Vaccinated:2021-06-03
Onset:2021-07-07
Submitted:0000-00-00
Entered:2021-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Military      Purchased by: ??
Symptoms: COVID-19, SARS-CoV-2 test positive

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: none noted
Current Illness: none noted
Preexisting Conditions: none noted
Allergies: none
Diagnostic Lab Data: SARS-CoV-2 N Gene Swab 07July2021 Virus Detected
CDC 'Split Type':

Write-up: Pt Contracted COVID-19 on 07Jul2021

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1454253&WAYBACKHISTORY=ON


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