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This is VAERS ID 1758938

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/8/2021

VAERS ID: 1758938
VAERS Form:2
Age:47.0
Sex:Female
Location:Hawaii
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 051E21A / 1 - / SYR

Administered by: Pharmacy      Purchased by: ??
Symptoms: Diarrhoea, Fatigue, Headache, Injection site pain, Nausea, Pain, Pain in extremity, Presyncope, Peripheral swelling, Injection site swelling, Decreased appetite, Vaccination site mass

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: No
Current Illness: I got sick on 8/30/21. Felt like the flu and pneumonia at the same time. Lasted til 9/13/21
Preexisting Conditions: No
Allergies: No
Diagnostic Lab Data: I have none. I bought some ibuprofen and slept
CDC 'Split Type':

Write-up: Injection site pain-still sore Tiredness Whole body was in pain Injection site swelling Nausea Decreased appetite Headache Diarrhea Arm pain Almost fainted when I got injected My hand got swollen I?m still dealing with headaches arm pain site pain. I have a lump where I got vaccine

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