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This is VAERS ID 1693470

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History of Changes from the VAERS Wayback Machine

First Appeared on 9/17/2021

VAERS ID: 1693470
VAERS Form:2
Age:20.0
Sex:Female
Location:Georgia
Vaccinated:2021-09-10
Onset:2021-09-11
Submitted:0000-00-00
Entered:2021-09-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025C21A / 1 LA / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Chills, Dyspnoea, Pallor, Pyrexia, Respiration abnormal, Vomiting, Lower respiratory tract congestion

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: Norethindrone Acetate Ethinyl Estradiol & Ferrous Fumarate tablets, 1 mg/0.02 mg Spironolactone 100mg Vitamin D Garden of life Dr. Formulated probiotics once daily womens
Current Illness: None
Preexisting Conditions: MRKH NCCAH
Allergies: None
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Feverish 1pm following day Took 3,000 mg vitamin C and 2 Acetaminophen tablets Color turned pale/gray, lips lost all color, threw up 3 times between 5pm-9pm. Had severe chills after vomiting. Had congestion in chest and was taking deep breaths to breathe. Took pepto bismol at 9pm, ate some saltine crackers, and drank some Gatorade. Took 1 ibuprofen at 10pm, then slept for 11 hours. Woke up at 9am on 9/12/21. Got out of bed at 10am. Feeling better but still feeling out of breath and not breathing normally..

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