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This is VAERS ID 1467548

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1467548
VAERS Form:2
Age:17.0
Sex:Female
Location:Washington
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 007021A / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: No adverse event, Product administered to patient of inappropriate age

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

Write-up: I administered a moderna vaccine to a 17 year old. No adverse reaction.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1467548&WAYBACKHISTORY=ON


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