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This is VAERS ID 1454632

History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1454632
VAERS Form:2
Age:46.0
Sex:Male
Location:Virginia
Vaccinated:2021-07-06
Onset:2021-07-07
Submitted:0000-00-00
Entered:2021-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 - / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Pyrexia, Cardiac flutter

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: Two Tylenol for vaccination appointment to Tylenol or ibuprofen to a surgery later in the day or headache.
Current Illness: Nki
Preexisting Conditions:
Allergies: Nka
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Elevated fluttering heart rate 90 BPM while resting blood pressure 135/80. Fever 101?

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1454632&WAYBACKHISTORY=ON


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