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This is VAERS ID 906836

History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2020

VAERS ID: 906836
VAERS Form:2
Age:36.0
Sex:Female
Location:Missouri
Vaccinated:2020-12-21
Onset:2020-12-21
Submitted:0000-00-00
Entered:2020-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011J20A / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Burning sensation, Cough, Headache, Nausea, 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Nausea, deep harsh dry cough, HA, burning and tightness across shoulder blades. Arm very sore the next morning


Changed on 5/7/2021

VAERS ID: 906836 Before After
VAERS Form:2
Age:36.0
Sex:Female
Location:Missouri
Vaccinated:2020-12-21
Onset:2020-12-21
Submitted:0000-00-00
Entered:2020-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011J20A / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Burning sensation, Cough, Headache, Nausea, 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Nausea, deep harsh dry cough, HA, burning and tightness across shoulder blades. Arm very sore the next morning


Changed on 5/14/2021

VAERS ID: 906836 Before After
VAERS Form:2
Age:36.0
Sex:Female
Location:Missouri
Vaccinated:2020-12-21
Onset:2020-12-21
Submitted:0000-00-00
Entered:2020-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011J20A / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Burning sensation, Cough, Headache, Nausea, 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Nausea, deep harsh dry cough, HA, burning and tightness across shoulder blades. Arm very sore the next morning

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=906836&WAYBACKHISTORY=ON

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