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This is VAERS ID 1484932

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1484932
VAERS Form:2
Age:45.0
Sex:Female
Location:Rhode Island
Vaccinated:2021-07-01
Onset:2021-07-01
Submitted:0000-00-00
Entered:2021-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 054C21A / 1 RA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Intermenstrual bleeding, Migraine, Hot flush

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: Flexaril, Gabapentin, Ibuprofen, Advil
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Percocet, Zithromax
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: Pt. states that after receiving the 1st dose of Moderna 07/01/2021, started the experience a spotting period from the 17th continuing with hot flashes, migraines, possible chills. No primary visit noted.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1484932&WAYBACKHISTORY=ON


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