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This is VAERS ID 907546

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2020

VAERS ID: 907546
VAERS Form:1
Age:36.0
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:2020-12-22
Submitted:2020-12-22
Entered:2020-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Dyspnoea, Headache, Hypoaesthesia, Nasal congestion, Nausea, Pallor, Paraesthesia, Vomiting, Hypoaesthesia oral

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: patient had left arm numbness and tingling, lips numbs, and headache at 15 minutes. Symptoms continued to increased headache, SOB, nasal congestion, nausea and vomiting, all extremities numb. face pale.


Changed on 5/7/2021

VAERS ID: 907546 Before After
VAERS Form:1
Age:36.0
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:2020-12-22
Submitted:2020-12-22
Entered:2020-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Dyspnoea, Headache, Hypoaesthesia, Nasal congestion, Nausea, Pallor, Paraesthesia, Vomiting, Hypoaesthesia oral

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: patient had left arm numbness and tingling, lips numbs, and headache at 15 minutes. Symptoms continued to increased headache, SOB, nasal congestion, nausea and vomiting, all extremities numb. face pale.


Changed on 5/14/2021

VAERS ID: 907546 Before After
VAERS Form:1
Age:36.0
Sex:Female
Location:Unknown
Vaccinated:0000-00-00
Onset:2020-12-22
Submitted:2020-12-22
Entered:2020-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Other      Purchased by: Other
Symptoms: Dyspnoea, Headache, Hypoaesthesia, Nasal congestion, Nausea, Pallor, Paraesthesia, Vomiting, Hypoaesthesia oral

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: patient had left arm numbness and tingling, lips numbs, and headache at 15 minutes. Symptoms continued to increased headache, SOB, nasal congestion, nausea and vomiting, all extremities numb. face pale.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=907546&WAYBACKHISTORY=ON


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