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This is VAERS ID 1486906

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1486906
VAERS Form:2
Age:41.0
Sex:Female
Location:Arkansas
Vaccinated:2021-07-02
Onset:2021-07-03
Submitted:0000-00-00
Entered:2021-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 017C21A / 1 LA / -

Administered by: Private      Purchased by: ??
Symptoms: Capillary fragility, Blood test normal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Citalopram Sinvastin Temazepam aspirin Phenternin multi vitamin Iron pill Xyzal (Allergy pill) Nasal spray for Allergy
Current Illness: sinus infection (2 weeks before vaccine)
Preexisting Conditions:
Allergies: no
Diagnostic Lab Data: 07/07/2021 went to go see PCP and they stated that it should go away... Blood test was ran and it resulted normal
CDC 'Split Type':

Write-up: Patient report that she has burst blood vessels in her feet and ankle area...both feet are having issues.. goes away and comes back

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1486906&WAYBACKHISTORY=ON


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