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This is VAERS ID 1490565

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1490565
VAERS Form:2
Age:24.0
Sex:Female
Location:North Carolina
Vaccinated:2021-07-18
Onset:2021-07-18
Submitted:0000-00-00
Entered:2021-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 RA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Chest discomfort, Dizziness, Dyspnoea, Hyperhidrosis, Lymphadenopathy, Nausea, Urticaria, Limb discomfort

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: 14 years ago reaction to the flu shot. Hives
Other Medications: Zyrtec Symbicort
Current Illness: no
Preexisting Conditions: asthma
Allergies: seasonal allergies , tree nuts ,flu shot
Diagnostic Lab Data: no
CDC 'Split Type':

Write-up: At 4:42 shortness breath also became dizzy and nausea Sweating profusely that lasted about 20min. On the 19th had chest tightestness that radiated to arm. Hive and swollen lymph nodes swollen and visible.

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