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This is VAERS ID 907608

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2020

VAERS ID: 907608
VAERS Form:2
Age:46.0
Sex:Female
Location:Alabama
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 011J20A / 1 AR / IM

Administered by: Other      Purchased by: ??
Symptoms: Rash, Pharyngeal paraesthesia

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: UNKNOWN - SIMILAR REACTION
Other Medications:
Current Illness:
Preexisting Conditions: STATED THAT SHE HAS HAD SIMILAR REACTION IN PAST
Allergies:
Diagnostic Lab Data: NONE - EXTENDED MONITORING AFTER VACCINE
CDC 'Split Type':

Write-up: MILD RASH, TINGLING IN THRAOT


Changed on 5/7/2021

VAERS ID: 907608 Before After
VAERS Form:2
Age:46.0
Sex:Female
Location:Alabama
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 011J20A / 1 AR / IM

Administered by: Other      Purchased by: ??
Symptoms: Rash, Pharyngeal paraesthesia

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: UNKNOWN - SIMILAR REACTION
Other Medications:
Current Illness:
Preexisting Conditions: STATED THAT SHE HAS HAD SIMILAR REACTION IN PAST
Allergies:
Diagnostic Lab Data: NONE - EXTENDED MONITORING AFTER VACCINE
CDC 'Split Type':

Write-up: MILD RASH, TINGLING IN THRAOT


Changed on 5/21/2021

VAERS ID: 907608 Before After
VAERS Form:2
Age:46.0
Sex:Female
Location:Alabama
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 011J20A / 1 AR / IM

Administered by: Other      Purchased by: ??
Symptoms: Rash, Pharyngeal paraesthesia

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: UNKNOWN - SIMILAR REACTION
Other Medications:
Current Illness:
Preexisting Conditions: STATED THAT SHE HAS HAD SIMILAR REACTION IN PAST
Allergies:
Diagnostic Lab Data: NONE - EXTENDED MONITORING AFTER VACCINE
CDC 'Split Type':

Write-up: MILD RASH, TINGLING IN THRAOT

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