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This is VAERS ID 1487313

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1487313
VAERS Form:2
Age:59.0
Sex:Female
Location:Washington
Vaccinated:2021-07-01
Onset:2021-07-01
Submitted:0000-00-00
Entered:2021-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 024C21A / 2 RA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Hallucination, visual, Headache, Injection site erythema, Pain in extremity, Pyrexia, Hypophagia

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? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: made eyes feel weird first time, worst the second time, fever for 5 hrs seeing things. redness around shot 4 inches round fouth day still there . didnt eat for three days, head ache. felt like arm was going to fall off. fourth day feel better, arm still red.

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