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This is VAERS ID 1478313

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1478313
VAERS Form:2
Age:88.0
Sex:Female
Location:Michigan
Vaccinated:2021-03-02
Onset:2021-07-01
Submitted:0000-00-00
Entered:2021-07-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Fall, Hip fracture, COVID-19, SARS-CoV-2 test positive, Asymptomatic COVID-19

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? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Eliquid, tylenol, plavix, culturelle, colace, synthroid, ativan, namenda, nystatin, seroquel, senna
Current Illness: N/A
Preexisting Conditions: Hypothyroidism, alzheimers, hypertension, osteoarthritis, history of stroke, GERD
Allergies: Dust
Diagnostic Lab Data: Positive COVID PCR on 07/01/2021.
CDC 'Split Type':

Write-up: Fully vaccinated patient tested positive for COVID upon admission to hospital. Patient admitted through ED on 07/01/21 after fall resulting in hip fracture. Patient tested for COVID with routine admission testing and tested positive. Patient asymptomatic at time of admission for s/s of COVID.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1478313&WAYBACKHISTORY=ON


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