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This is VAERS ID 906868

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2020

VAERS ID: 906868
VAERS Form:2
Age:44.0
Sex:Female
Location:Minnesota
Vaccinated:2020-12-22
Onset:2020-12-22
Submitted:0000-00-00
Entered:2020-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20-2A / 1 LA / -

Administered by: Private      Purchased by: ??
Symptoms: Hypoaesthesia, Peripheral coldness, Injection site coldness, Injection site hypoaesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
Preexisting Conditions: Endorometriosis
Allergies: Strawberries, blackberries, cinnamon oil Hydrocortisone
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: About 5 minutes after receiving vaccination patient noticed her left arm was very cold and then it went numb from the base of her left ear to her hand. Tested strength in both hands and it was equal. After 20 minutes the patient stated that the numbness was going away but the coldness was still present in the left arm.


Changed on 5/7/2021

VAERS ID: 906868 Before After
VAERS Form:2
Age:44.0
Sex:Female
Location:Minnesota
Vaccinated:2020-12-22
Onset:2020-12-22
Submitted:0000-00-00
Entered:2020-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20-2A / 1 LA / -

Administered by: Private      Purchased by: ??
Symptoms: Hypoaesthesia, Peripheral coldness, Injection site coldness, Injection site hypoaesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
Preexisting Conditions: Endorometriosis
Allergies: Strawberries, blackberries, cinnamon oil Hydrocortisone Hydrocortisone
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: About 5 minutes after receiving vaccination patient noticed her left arm was very cold and then it went numb from the base of her left ear to her hand. Tested strength in both hands and it was equal. After 20 minutes the patient stated that the numbness was going away but the coldness was still present in the left arm.


Changed on 5/14/2021

VAERS ID: 906868 Before After
VAERS Form:2
Age:44.0
Sex:Female
Location:Minnesota
Vaccinated:2020-12-22
Onset:2020-12-22
Submitted:0000-00-00
Entered:2020-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20-2A / 1 LA / -

Administered by: Private      Purchased by: ??
Symptoms: Hypoaesthesia, Peripheral coldness, Injection site coldness, Injection site hypoaesthesia

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: None
Preexisting Conditions: Endorometriosis
Allergies: Strawberries, blackberries, cinnamon oil Hydrocortisone Hydrocortisone
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: About 5 minutes after receiving vaccination patient noticed her left arm was very cold and then it went numb from the base of her left ear to her hand. Tested strength in both hands and it was equal. After 20 minutes the patient stated that the numbness was going away but the coldness was still present in the left arm.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=906868&WAYBACKHISTORY=ON


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