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This is VAERS ID 906974

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2020

VAERS ID: 906974
VAERS Form:2
Age:37.0
Sex:Female
Location:North Dakota
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 RA / -

Administered by: Private      Purchased by: ??
Symptoms: Feeling hot, Flushing, Hypoaesthesia, Injection site paraesthesia, Paraesthesia, 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: None
Current Illness: None
Preexisting Conditions: Asthma
Allergies: Shellfish
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: About 5 minutes after the vaccine was given patient describes numbness and tingling from injection site to pinky and that lasted about 5 minutes. Patient started feeling a flush/warm feeling across chest about 15 minutes after vaccine. No dizziness or lightheadedness. Flushed feeling lasted about 30 seconds. Patient feels much better after 25 minutes of waiting time. She states she does not require any further treatment.


Changed on 5/7/2021

VAERS ID: 906974 Before After
VAERS Form:2
Age:37.0
Sex:Female
Location:North Dakota
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 RA / -

Administered by: Private      Purchased by: ??
Symptoms: Feeling hot, Flushing, Hypoaesthesia, Injection site paraesthesia, Paraesthesia, 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: None
Current Illness: None
Preexisting Conditions: Asthma
Allergies: Shellfish Shellfish
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: About 5 minutes after the vaccine was given patient describes numbness and tingling from injection site to pinky and that lasted about 5 minutes. Patient started feeling a flush/warm feeling across chest about 15 minutes after vaccine. No dizziness or lightheadedness. Flushed feeling lasted about 30 seconds. Patient feels much better after 25 minutes of waiting time. She states she does not require any further treatment.


Changed on 5/14/2021

VAERS ID: 906974 Before After
VAERS Form:2
Age:37.0
Sex:Female
Location:North Dakota
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 RA / -

Administered by: Private      Purchased by: ??
Symptoms: Feeling hot, Flushing, Hypoaesthesia, Injection site paraesthesia, Paraesthesia, 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: None
Current Illness: None
Preexisting Conditions: Asthma
Allergies: Shellfish Shellfish
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: About 5 minutes after the vaccine was given patient describes numbness and tingling from injection site to pinky and that lasted about 5 minutes. Patient started feeling a flush/warm feeling across chest about 15 minutes after vaccine. No dizziness or lightheadedness. Flushed feeling lasted about 30 seconds. Patient feels much better after 25 minutes of waiting time. She states she does not require any further treatment.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=906974&WAYBACKHISTORY=ON


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