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This is VAERS ID 1470546

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1470546
VAERS Form:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 005C21A / 2 - / -

Administered by: Pharmacy      Purchased by: ??
Symptoms: Nausea, Pain in extremity, Pruritus, Peripheral swelling, Contusion

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: Zoloft 50mg, Xulane (Birth control patch), Vitamin D2.
Current Illness: None.
Preexisting Conditions: Asthma.
Allergies: Lactose
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: After second vaccination became very nausea, arm is swollen. Arm currently still swollen, bruised, itchy and painful.

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