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This is VAERS ID 1685317

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History of Changes from the VAERS Wayback Machine

First Appeared on 9/10/2021

VAERS ID: 1685317
VAERS Form:2
Age:37.0
Sex:Female
Location:Utah
Vaccinated:2021-09-08
Onset:2021-09-08
Submitted:0000-00-00
Entered:2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 048F21A / 1 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Abdominal discomfort, Asthenia, Dizziness, Fatigue, Feeling cold, Hyperhidrosis, Malaise, Nausea, Pain, Pain in extremity, Paraesthesia, Presyncope, Sensory disturbance, Sleep disorder, Mobility decreased, Grip strength decreased

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: unkown
Current Illness: none reported
Preexisting Conditions: none reported
Allergies: Penicillin
Diagnostic Lab Data: The paramedics took her vitals
CDC 'Split Type':

Write-up: Ten minutes after the vaccination the patient called out that she didn''t feel well. I went to talk with her and she was experiencing dizziness and light headed to the point she felt she was going to pass out. She also had severe stomach discomfort to the point she thought she was going to have both diarrhea and vomiting. We laid the patient down on a bench with her head supported and then called the paramedics. She was cold and sweating. She said that both arms were tingling with an uncomfortable sensation and the left arm was also painful with pain radiating down from shoulder to hand. She also said she couldn''t move her hands very well and had a hard time gripping things. The paramedics came after about another 10 minutes and checked out the patient. All her vitals were ok, and the patients symptoms were improving. She was still weak but she had someone there to take her home. The following day we called her and she said she didn''t sleep and still felt sick (nausea, aches and pains, fatigue)

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