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This is VAERS ID 1490660

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1490660
VAERS Form:2
Age:40.0
Sex:Female
Location:Florida
Vaccinated:2021-07-12
Onset:2021-07-18
Submitted:0000-00-00
Entered:2021-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK LA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Erythema, Pruritus, Peripheral swelling

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:
Other Medications: Simvastatin, omeperzol, wellbutrin, birth control
Current Illness: None
Preexisting Conditions: High white blood count
Allergies: None known
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Arm is swollen, red and itchy a week after injection

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1490660&WAYBACKHISTORY=ON


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