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This is VAERS ID 1693297

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History of Changes from the VAERS Wayback Machine

First Appeared on 9/17/2021

VAERS ID: 1693297
VAERS Form:2
Age:28.0
Sex:Female
Location:Unknown
Vaccinated:2021-09-09
Onset:2021-09-11
Submitted:0000-00-00
Entered:2021-09-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK LA / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Headache, Injection site pain, Pain, Pain in extremity, Cardiac flutter

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: Lexapro
Current Illness:
Preexisting Conditions: IBS, migraines
Allergies: None
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Injection pain :sharp stabbing pain , throbbing in arm, Headache ,, increased in weird heart flutter

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