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This is VAERS ID 1768663

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/8/2021

VAERS ID: 1768663
VAERS Form:2
Age:32.0
Sex:Female
Location:Missouri
Vaccinated:2021-08-31
Onset:2021-09-06
Submitted:0000-00-00
Entered:2021-10-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 048B21A / 2 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Chest pain, Computerised tomogram normal, Dizziness, Electrocardiogram normal, Headache, Heart rate increased, Loss of consciousness, Pain, Blood test normal, Cardiac monitoring

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:
Other Medications: Tylenol
Current Illness: No
Preexisting Conditions: No
Allergies: Penicillin
Diagnostic Lab Data: 09/13/2021-bloodwork-Normal. CT Scan-Normal. EKG-normal. 9/14/2021-EKG-normal.
CDC 'Split Type': vsafe

Write-up: 09/06/2021 I passed out for ten mins. I have had several episodes of passing out since then. Still happening at random till this day. Each time I pass out something gets added to that, like dizziness, headache, pulse raises. Right arm sometimes has shooting pains. Now I am also having chest pains before passing out. 09/13/2021 passed out, taken to ER. 09/14/2021 taken to the ER again. Still passing out to the present day. On the 09/14/2021 I was give a shot called Toradol. On 10/05/2021 I was given a heart monitor to wear, till tomorrow is my last day wearing it, given to me by my doctor. I will not know the results of the heart monitor for a few weeks.

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