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This is VAERS ID 1491872

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1491872
VAERS Form:2
Age:41.0
Sex:Male
Location:California
Vaccinated:2021-04-15
Onset:2021-07-18
Submitted:0000-00-00
Entered:2021-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Pharmacy      Purchased by: ??
Symptoms: Dizziness, Migraine, Palpitations, Blood test abnormal, Cardiac stress test

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: klonopin
Current Illness: none
Preexisting Conditions: epilepsy traumatic brain injury
Allergies: pollen flouresce eye drops used at the eye doctor to contrast the eye gel deoderant
Diagnostic Lab Data: heart stress hormone blood test was elevated
CDC 'Split Type':

Write-up: extreme heart palpitations, dizziness, severe migraine

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1491872&WAYBACKHISTORY=ON


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