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This is VAERS ID 906999

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2020

VAERS ID: 906999
VAERS Form:2
Age:65.0
Sex:Unknown
Location:Colorado
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 / UNK - / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Lip swelling, Paraesthesia oral

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
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: mild swelling and tingeling sensation of the lips. No significant swelling.


Changed on 5/7/2021

VAERS ID: 906999 Before After
VAERS Form:2
Age:65.0
Sex:Unknown
Location:Colorado
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 / UNK - / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Lip swelling, Paraesthesia oral

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
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: mild swelling and tingeling sensation of the lips. No significant swelling.


Changed on 5/14/2021

VAERS ID: 906999 Before After
VAERS Form:2
Age:65.0
Sex:Unknown
Location:Colorado
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 / UNK - / IM

Administered by: Unknown      Purchased by: ??
Symptoms: Lip swelling, Paraesthesia oral

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? Yes
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: mild swelling and tingeling sensation of the lips. No significant swelling.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=906999&WAYBACKHISTORY=ON


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