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This is VAERS ID 1758614

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/8/2021

VAERS ID: 1758614
VAERS Form:2
Age:39.0
Sex:Male
Location:Connecticut
Vaccinated:2021-09-30
Onset:2021-09-30
Submitted:0000-00-00
Entered:2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / IM

Administered by: Private      Purchased by: ??
Symptoms: Headache, Hypoaesthesia

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)? Yes
Hospitalized? No
Previous Vaccinations: HEADACHE FOR 3+ DAYS ON 1ST COVID-19 MODERNA VACCINE
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: N/A
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: HEADACHE, LEFT SIDED NUMBNESS IN HEAD, FACE, NECK AND BILATERAL HANDS. HAS LASTED 4 DAYS CONTINUOUSLY. ZERO TREATMENTS AS THIS IS TO BE DOCUMENTED WITHIN FACILITY FIRST

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