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This is VAERS ID 1737188

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/1/2021

VAERS ID: 1737188
VAERS Form:2
Age:60.0
Sex:Female
Location:Minnesota
Vaccinated:2021-02-04
Onset:2021-09-26
Submitted:0000-00-00
Entered:2021-09-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA UNKNOWN / 2 UN / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Cough, Headache, Nasal congestion, Rhinorrhoea, COVID-19, SARS-CoV-2 test positive

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ESTRADIOL. LEVOTHYROXINE, LORATADINE, PROGESTERONE, NASOCORT, OMEPRAZOLE, PRO AIR, TRAZODONE, TOPRAMATE
Current Illness: UPPER RESPIRATORY SYMPTOMS
Preexisting Conditions: HYPOTHYROIDISM, MIGRAINE, HEARTBURN, SLEEP DISTURBANCE, HIGH CHOLESTEROL
Allergies: AMOXICILLIN, CODEINE
Diagnostic Lab Data: SARS COVID-19 NASAL SWAB 9/27/21: POSITIVE
CDC 'Split Type':

Write-up: 9/26/21: RUNNY AND STUFFY NOSE, COUGH, HEADACHE

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