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This is VAERS ID 1764857

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/8/2021

VAERS ID: 1764857
VAERS Form:2
Age:26.0
Sex:Female
Location:Michigan
Vaccinated:2021-09-05
Onset:2021-09-06
Submitted:0000-00-00
Entered:2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Muscular weakness, Urticaria

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: None.
Current Illness: None.
Preexisting Conditions: None.
Allergies: None.
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: I broke out with hives all over my body which I have the pictures to prove and my muscles in my leg makes me feel like my legs are giving out on me I wasn?t having these problems until I took the shot it is abnormal for me and I?m scared.

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