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This is VAERS ID 908633

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History of Changes from the VAERS Wayback Machine

First Appeared on 1/7/2021

VAERS ID: 908633
VAERS Form:2
Age:46.0
Sex:Female
Location:Vermont
Vaccinated:2020-12-23
Onset:2020-12-23
Submitted:0000-00-00
Entered:2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20A / 1 UN / IM

Administered by: Private      Purchased by: ??
Symptoms: Flushing, Productive cough, Rash, Limb discomfort, Pharyngeal paraesthesia

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: ED evaluation developed rash and throat got phlemy
CDC 'Split Type':

Write-up: flush on legs and arms, transient throat tingles that resolved. Arms heavy


Changed on 5/7/2021

VAERS ID: 908633 Before After
VAERS Form:2
Age:46.0
Sex:Female
Location:Vermont
Vaccinated:2020-12-23
Onset:2020-12-23
Submitted:0000-00-00
Entered:2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20A / 1 UN / IM

Administered by: Private      Purchased by: ??
Symptoms: Flushing, Productive cough, Rash, Limb discomfort, Pharyngeal paraesthesia

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: ED evaluation developed rash and throat got phlemy
CDC 'Split Type':

Write-up: flush on legs and arms, transient throat tingles that resolved. Arms heavy


Changed on 5/14/2021

VAERS ID: 908633 Before After
VAERS Form:2
Age:46.0
Sex:Female
Location:Vermont
Vaccinated:2020-12-23
Onset:2020-12-23
Submitted:0000-00-00
Entered:2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20A / 1 UN / IM

Administered by: Private      Purchased by: ??
Symptoms: Flushing, Productive cough, Rash, Limb discomfort, Pharyngeal paraesthesia

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: ED evaluation developed rash and throat got phlemy
CDC 'Split Type':

Write-up: flush on legs and arms, transient throat tingles that resolved. Arms heavy

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=908633&WAYBACKHISTORY=ON


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