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This is VAERS ID 1487196

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1487196
VAERS Form:2
Age:55.0
Sex:Male
Location:Delaware
Vaccinated:2021-04-06
Onset:2021-07-18
Submitted:0000-00-00
Entered:2021-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 007B21A / 2 - / SYR

Administered by: Other      Purchased by: ??
Symptoms: Blood pressure increased, Hypersensitivity, Swelling face

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: No food or drug allergies. Allergies to pollen / rag weed
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: Allergic reaction which came on without a known specific reason. face swelling and elevated blood pressure,

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1487196&WAYBACKHISTORY=ON


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