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This is VAERS ID 1757315

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/8/2021

VAERS ID: 1757315
VAERS Form:2
Age:55.0
Sex:Female
Location:New Mexico
Vaccinated:2021-09-30
Onset:2021-09-30
Submitted:0000-00-00
Entered:2021-10-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 3 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Arthralgia, Chills, Erythema, Fatigue, Feeling hot, Headache, Myalgia, Pruritus, Pyrexia, Swelling, Decreased appetite, Vaccine positive rechallenge

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: Same side effects on dose 2 of Moderna Covid vaccine
Other Medications: Levoxyl, collagen, vit D
Current Illness:
Preexisting Conditions: Autoimmune disorder, prediabetic, hypothyroidism
Allergies:
Diagnostic Lab Data: N/A
CDC 'Split Type':

Write-up: Severe Chills onset 11pm on 9/30/21, muscle/joint pain/fever/loss of appetite/fatigue onset 10/01/21 AM and lasting through 10/02/21 11pm, headache onset 10/02/21 and lasting 12 hours, covid arm onset 10/03/21 itching, swelling, redness, and warm to the touch.

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