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This is VAERS ID 1475868

History of Changes from the VAERS Wayback Machine

First Appeared on 7/16/2021

VAERS ID: 1475868
VAERS Form:2
Age:21.0
Sex:Male
Location:Montana
Vaccinated:2021-07-15
Onset:2021-07-15
Submitted:0000-00-00
Entered:2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 024C21A / 2 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Arthralgia, Chills, Headache, Muscular weakness, Myalgia, Neck pain, Hot flush

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: Tylenol and Ibuprofen for back pain (in recommend doses)
Current Illness: None
Preexisting Conditions: Chronic Back pain (undiagnosed)
Allergies: None
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Headache, muscle weakness (in entire body), muscle pain in shoulders and neck, chills, hot flashes. Treated with 400mg of Ibuprofen.

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