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This is VAERS ID 1685372

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History of Changes from the VAERS Wayback Machine

First Appeared on 9/10/2021

VAERS ID: 1685372
VAERS Form:2
Age:25.0
Sex:Female
Location:Texas
Vaccinated:2021-09-09
Onset:2021-09-09
Submitted:0000-00-00
Entered:2021-09-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 024C21A / 1 RA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Dizziness, Feeling hot

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:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Pt reported feeling hot and a little light headed, approximately 6 minutes after vaccination. Pt reported not eating before vaccine, Pt vitals at 1:01 pm were BP : 110/78, HR : 88, Temp. : 98 and oxygen : 99% . Pt was given water and light snack. Last Vitals taken at 1:24 pm BP : 110/72, HR : 80, Temp : 97.7 and oxygen 99%. All other set of vitals were within normal range$g PT reported feeling better and was cleared by Clinical Staff

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