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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA||- / 2||UN / IM|
Administered by: Private Purchased by: ??
Symptoms: Chest discomfort, Chest pain, Cough, Death, Dyspnoea, Feeling abnormal, Malaise, Somnolence, Respiratory tract congestion
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Other Medications: Gabapentin, Busiprone, cyclobenzaprine, insuline
Preexisting Conditions: Type-2 Diabetes with well maintained blood sugar levels.
Diagnostic Lab Data: NONE
CDC 'Split Type':
Write-up: 09/16/2021-09/19/2021 Patient remained in bed coughing, feeling ill, drinking fluids and eating but slept mostly. 09/20/2021-Patient complained about being congested so she took mucus relief and cough drops 09/21/2021-09/23/2021-Patient began moving around the house feeling short of breath and a little foggy but symptoms felt to be slowly disipating and she was glad to be out of bed. Took a shower and sat outside to get fresh air and discussed how 09/16-09/19 she had never felt the burning in her chest and tightness like anything before and was glad it was over with. She was given water and left to her own accord at 10:30 pm. 09/24/21- At approximately 9:30 patient was discovered in her bed having died sometime throughout the night.
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