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This is VAERS ID 1474433

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1474433
VAERS Form:2
Age:68.0
Sex:Female
Location:Oregon
Vaccinated:2021-07-14
Onset:2021-07-15
Submitted:0000-00-00
Entered:2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 078C21A / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Arthralgia, Condition aggravated, Dizziness, Fatigue, Myalgia, Pain in extremity

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: estratest, multi-vits,zolpidem,tizanidine,ritalin,effexor
Current Illness: none
Preexisting Conditions: fibro,depression,post covid fatigue,cfs,back pain
Allergies: sulfa tramadol
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Fatigue,dizziness, joint and muscle pain,sore arm

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1474433&WAYBACKHISTORY=ON


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