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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA||054C21A / 1||LA / IM|
Administered by: Pharmacy Purchased by: ??
Symptoms: Nausea, Nervousness, Vomiting projectile
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Systemic: Nausea-Severe, Systemic: Vomiting-Severe, Additional Details: projectile vomiting, we gave him water helped him clean himself... he stated after the incident that he was super nervous, he gets like this with vaccine
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