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This is VAERS ID 1756503

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/8/2021

VAERS ID: 1756503
VAERS Form:2
Age:37.0
Sex:Female
Location:Texas
Vaccinated:2021-09-11
Onset:2021-09-12
Submitted:0000-00-00
Entered:2021-10-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 050E21A / UNK RA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Asthenia, Hypoaesthesia, Rhabdomyolysis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Patient had severe weakness, legs felt numb and paralyzed. This lasted for 3 weeks. Patient says her Dr told her it was rhabdomyolysis.

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