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This is VAERS ID 1690157

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History of Changes from the VAERS Wayback Machine

First Appeared on 9/17/2021

VAERS ID: 1690157
VAERS Form:2
Age:43.0
Sex:Female
Location:Georgia
Vaccinated:2021-09-10
Onset:2021-09-10
Submitted:0000-00-00
Entered:2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 020F21A / 2 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Hypoaesthesia, Nausea, Pain in extremity, Pyrexia

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: Same adverse reaction with first dose
Other Medications: moderna immunization
Current Illness: none
Preexisting Conditions: none
Allergies: no known allergies
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Numbness in face, pain (ache) in arms, low grade fever, nausea

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