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This is VAERS ID 1464215

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1464215
VAERS Form:2
Age:27.0
Sex:Male
Location:Kentucky
Vaccinated:2021-04-07
Onset:2021-07-03
Submitted:0000-00-00
Entered:2021-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 021B21A / 2 LA / IM

Administered by: Public      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)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: No
Current Illness: NO
Preexisting Conditions: NO
Allergies: NO
Diagnostic Lab Data: at home test positive rapid antigen invalid PCR inconclusive
CDC 'Split Type':

Write-up: became symptomatic 07/03, at home test positive, rapid antigen invalid, PCR inconclusive

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1464215&WAYBACKHISTORY=ON


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