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This is VAERS ID 1685327

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History of Changes from the VAERS Wayback Machine

First Appeared on 9/10/2021

VAERS ID: 1685327
VAERS Form:2
Age:55.0
Sex:Female
Location:California
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 037C21A / UNK RA / SYR

Administered by: Work      Purchased by: ??
Symptoms: Chills, Condition aggravated, Headache, Pain, Pyrexia, Rhinorrhoea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: moderna 1st dose , fever and chills 01/20/2021
Other Medications: Tylenol, Lozartan Potassium, omeprazole
Current Illness: none
Preexisting Conditions: History of cancer
Allergies: none
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: headache, body ache , chills, slight fever, runny nose,

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