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This is VAERS ID 1475864

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1475864
VAERS Form:2
Age:34.0
Sex:Female
Location:Utah
Vaccinated:2021-07-13
Onset:2021-07-15
Submitted:0000-00-00
Entered:2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash

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: Lexapro, vitamin D3, multi vitamin, magnesium 400mg
Current Illness: Common cold
Preexisting Conditions: Asthma
Allergies: Avocado, mango, latex sensitivity
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Rash, redness and itchiness in surrounding area around vaccine site and around my small pox vaccine scar

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1475864&WAYBACKHISTORY=ON


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