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This is VAERS ID 1467291

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1467291
VAERS Form:2
Age:27.0
Sex:Female
Location:Massachusetts
Vaccinated:2021-07-13
Onset:2021-07-13
Submitted:0000-00-00
Entered:2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 050C21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Dizziness, Hyperhidrosis, Nausea, Pallor

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: PATIENT APPEARED VERY PALE, FELT NAUSEOUS, DIZZY, AND SWEATING. NO BREATHING PROBLEM, NO SWELLING OF LIPS OR THROAT. ACCOMPANYING FRIEND SAID PATIENT DID NOT HAVE ANY BREAKFAST BEFORE VACCINATION. PHARMACY STAFF HELP ALLEVIATE PATIENT''S LEGS AND ENSURED ADEQUATE VENTILATION.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1467291&WAYBACKHISTORY=ON


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