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This is VAERS ID 908164

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History of Changes from the VAERS Wayback Machine

First Appeared on 12/30/2020

VAERS ID: 908164
VAERS Form:2
Age:35.0
Sex:Female
Location:Alaska
Vaccinated:2020-12-21
Onset:2020-12-22
Submitted:0000-00-00
Entered:2020-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011J20A / 1 LA / IM

Administered by: Military      Purchased by: ??
Symptoms: Arthralgia, Fatigue, Headache, Injection site erythema, Injection site mass, Injection site warmth, Myalgia, Pain in extremity

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: Vitmain D3, Calcium, Magnesium
Current Illness: none
Preexisting Conditions: Pleuritis? Some recurring chest pain but I never got a definitive diagnosis of cause.
Allergies: Zithromax, Tobramycin, Neosporin, Sulfa, Amoxicyllin, Rifampin, Isoniazid
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Woke up with just a sore arm the following day. As time progressed my arm got more sore; the site was hot, with a red circle and lump under the skin. Headache, muscle and joint aches, fatigue. Treated with some Nyquil, Excedrin, and sleep. Onset was about 16 hours after the original dose. almost 2 days later I''m still very fatigued, although the rest of the pain has largely gone away.


Changed on 5/7/2021

VAERS ID: 908164 Before After
VAERS Form:2
Age:35.0
Sex:Female
Location:Alaska
Vaccinated:2020-12-21
Onset:2020-12-22
Submitted:0000-00-00
Entered:2020-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011J20A / 1 LA / IM

Administered by: Military      Purchased by: ??
Symptoms: Arthralgia, Fatigue, Headache, Injection site erythema, Injection site mass, Injection site warmth, Myalgia, Pain in extremity

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: Vitmain D3, Calcium, Magnesium
Current Illness: none
Preexisting Conditions: Pleuritis? Some recurring chest pain but I never got a definitive diagnosis of cause.
Allergies: Zithromax, Tobramycin, Neosporin, Sulfa, Amoxicyllin, Rifampin, Isoniazid Isoniazid
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Woke up with just a sore arm the following day. As time progressed my arm got more sore; the site was hot, with a red circle and lump under the skin. Headache, muscle and joint aches, fatigue. Treated with some Nyquil, Excedrin, and sleep. Onset was about 16 hours after the original dose. almost 2 days later I''m still very fatigued, although the rest of the pain has largely gone away.


Changed on 5/21/2021

VAERS ID: 908164 Before After
VAERS Form:2
Age:35.0
Sex:Female
Location:Alaska
Vaccinated:2020-12-21
Onset:2020-12-22
Submitted:0000-00-00
Entered:2020-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011J20A / 1 LA / IM

Administered by: Military      Purchased by: ??
Symptoms: Arthralgia, Fatigue, Headache, Injection site erythema, Injection site mass, Injection site warmth, Myalgia, Pain in extremity

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: Vitmain D3, Calcium, Magnesium
Current Illness: none
Preexisting Conditions: Pleuritis? Some recurring chest pain but I never got a definitive diagnosis of cause.
Allergies: Zithromax, Tobramycin, Neosporin, Sulfa, Amoxicyllin, Rifampin, Isoniazid Isoniazid
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Woke up with just a sore arm the following day. As time progressed my arm got more sore; the site was hot, with a red circle and lump under the skin. Headache, muscle and joint aches, fatigue. Treated with some Nyquil, Excedrin, and sleep. Onset was about 16 hours after the original dose. almost 2 days later I''m still very fatigued, although the rest of the pain has largely gone away.

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