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This is VAERS ID 907462

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2020

VAERS ID: 907462
VAERS Form:2
Age:42.0
Sex:Female
Location:North Dakota
Vaccinated:2020-12-23
Onset:2020-12-23
Submitted:0000-00-00
Entered:2020-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20-2A / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Paraesthesia, Pruritus

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: Gets red and swollen at injection site of TB
Other Medications:
Current Illness: None
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Patient noticed mild tingling and itching after vaccine was given. Patient denies the need for any medications or creams to treat her reaction.


Changed on 5/7/2021

VAERS ID: 907462 Before After
VAERS Form:2
Age:42.0
Sex:Female
Location:North Dakota
Vaccinated:2020-12-23
Onset:2020-12-23
Submitted:0000-00-00
Entered:2020-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20-2A / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Paraesthesia, Pruritus

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: Gets red and swollen at injection site of TB
Other Medications:
Current Illness: None
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Patient noticed mild tingling and itching after vaccine was given. Patient denies the need for any medications or creams to treat her reaction.


Changed on 5/14/2021

VAERS ID: 907462 Before After
VAERS Form:2
Age:42.0
Sex:Female
Location:North Dakota
Vaccinated:2020-12-23
Onset:2020-12-23
Submitted:0000-00-00
Entered:2020-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20-2A / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Paraesthesia, Pruritus

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: Gets red and swollen at injection site of TB
Other Medications:
Current Illness: None
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Patient noticed mild tingling and itching after vaccine was given. Patient denies the need for any medications or creams to treat her reaction.

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