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This is VAERS ID 1722512

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History of Changes from the VAERS Wayback Machine

First Appeared on 9/24/2021

VAERS ID: 1722512
VAERS Form:2
Age:46.0
Sex:Female
Location:Maryland
Vaccinated:2021-09-11
Onset:2021-09-13
Submitted:0000-00-00
Entered:2021-09-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / SYR

Administered by: Private      Purchased by: ??
Symptoms: Lip swelling, Migraine, Nausea

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

Write-up: Swollen lips, migraine and nausea

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