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This is VAERS ID 908824

History of Changes from the VAERS Wayback Machine

First Appeared on 1/7/2021

VAERS ID: 908824
VAERS Form:2
Age:46.0
Sex:Female
Location:South Dakota
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 0011J20A / 1 RA / IM

Administered by: Other      Purchased by: ??
Symptoms: Abdominal discomfort, Cough, Pain, Pyrexia

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: multivitamin gummy, pherpine,
Current Illness: None
Preexisting Conditions: None
Allergies: No Known Allergies
Diagnostic Lab Data: None-may covid test if symptoms persist for 72 hours
CDC 'Split Type':

Write-up: body aches, fever 100.5 oral, cough, upset stomach


Changed on 5/7/2021

VAERS ID: 908824 Before After
VAERS Form:2
Age:46.0
Sex:Female
Location:South Dakota
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 0011J20A / 1 RA / IM

Administered by: Other      Purchased by: ??
Symptoms: Abdominal discomfort, Cough, Pain, Pyrexia

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: multivitamin gummy, pherpine,
Current Illness: None
Preexisting Conditions: None
Allergies: No Known Allergies Allergies
Diagnostic Lab Data: None-may covid test if symptoms persist for 72 hours
CDC 'Split Type':

Write-up: body aches, fever 100.5 oral, cough, upset stomach


Changed on 5/14/2021

VAERS ID: 908824 Before After
VAERS Form:2
Age:46.0
Sex:Female
Location:South Dakota
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 0011J20A / 1 RA / IM

Administered by: Other      Purchased by: ??
Symptoms: Abdominal discomfort, Cough, Pain, Pyrexia

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: multivitamin gummy, pherpine,
Current Illness: None
Preexisting Conditions: None
Allergies: No Known Allergies Allergies
Diagnostic Lab Data: None-may covid test if symptoms persist for 72 hours
CDC 'Split Type':

Write-up: body aches, fever 100.5 oral, cough, upset stomach

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=908824&WAYBACKHISTORY=ON

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