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This is VAERS ID 1474321

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1474321
VAERS Form:2
Age:63.0
Sex:Male
Location:Missouri
Vaccinated:2021-03-02
Onset:2021-07-02
Submitted:0000-00-00
Entered:2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011A21A / 2 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Computerised tomogram, Echocardiogram, Transient ischaemic attack, Visual impairment, Magnetic resonance imaging

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: Blood Pressure statin sugar
Current Illness: none
Preexisting Conditions: HTN Type IIdiabetes
Allergies: unknown
Diagnostic Lab Data: CT, MRI, Sonogram of heart 07/03/2021
CDC 'Split Type':

Write-up: Suspected TIA event based upon visual symptoms. Lasting less than 1/2 hour and never reoccurred.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1474321&WAYBACKHISTORY=ON


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