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This is VAERS ID 1776576

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/15/2021

VAERS ID: 1776576
VAERS Form:2
Age:42.0
Sex:Male
Location:Foreign
Vaccinated:2021-10-03
Onset:2021-10-11
Submitted:0000-00-00
Entered:2021-10-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 016E21A / 1 RA / OT

Administered by: Pharmacy      Purchased by: ??
Symptoms: Dizziness, Fatigue, Headache, Myalgia, Pain in extremity, Muscle tightness

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: -Horny goat weed pill -mild iron pill -zince citrate pill -kelp pill -vatamine D3 pill
Current Illness: None
Preexisting Conditions: Allergies. Congestion, clogged nose
Allergies: No allergies
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: My right arm is now really tight all of a sudden. After the tightness went away after a few days of first fires. Pain down my left leg. Muscles feel very sore and tired. Random spikes of head pain. Dizzy in morning.

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