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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA||- / 1||AR / IM|
Administered by: Private Purchased by: ??
Symptoms: Abdominal pain upper, Death, Electrocardiogram abnormal, Inflammation, Carditis
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Other Medications: Hair, Skin, nail vitamin B6 Calcium
Preexisting Conditions: LUpus
Diagnostic Lab Data: EKG
CDC 'Split Type':
Write-up: Daughter stated that patient passed on 07/06, a few weeks after getting her 1st vaccine. Daughter stated that she noticed that her mother had stomach pains the day before and the day of passing. Daughter stated tat Mother had EKG test and heart inflammation was found. Patient passed due to heart inflammation.
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