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This is VAERS ID 1487393

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1487393
VAERS Form:2
Age:71.0
Sex:Female
Location:Wisconsin
Vaccinated:2021-02-09
Onset:2021-07-18
Submitted:0000-00-00
Entered:2021-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 031M20A / 1 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Fatigue, Malaise, Pyrexia, COVID-19, SARS-CoV-2 test positive

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: Unknown
Current Illness: Unknown
Preexisting Conditions: Unknown
Allergies: Unknown
Diagnostic Lab Data: SARS CORONAVIRUS-2 RNA, V: Detected
CDC 'Split Type':

Write-up: Symptomatic, started on 7/18 with fever & fatigue.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1487393&WAYBACKHISTORY=ON


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