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This is VAERS ID 1454508

History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1454508
VAERS Form:2
Age:47.0
Sex:Female
Location:New York
Vaccinated:2021-07-07
Onset:2021-07-07
Submitted:0000-00-00
Entered:2021-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 050C21A / 2 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Sensory disturbance, Muscle tightness, Refusal of treatment by patient

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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
Current Illness: NONE
Preexisting Conditions: NONE
Allergies: NONE
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: PATIENT MENTIONED FEELING TIGHTNESS IN THE BODY. PATIENT FELT THAT THE MEDICATION WAS "STUCK IN THE STOMACH". PATIENT WAS MONITORED DIRECTLY BY THE PHARMACIST FOR SIGNS AND SYMPTOMS. PT WAS OFFERED TO HAVE THE 911 CALLED BUT PATIENT REFUSED. PT WAS MONITORED UNTIL SHE FELT STABLE ENOUGH TO LEAVE.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1454508&WAYBACKHISTORY=ON

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