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This is VAERS ID 908846

History of Changes from the VAERS Wayback Machine

First Appeared on 1/7/2021

VAERS ID: 908846
VAERS Form:2
Age:49.0
Sex:Female
Location:Missouri
Vaccinated:2020-12-24
Onset:2020-12-24
Submitted:0000-00-00
Entered:2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 039K20A / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Epistaxis, Thrombosis

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: Escitalopram, spironolactone, valcyclovir, trazodone, atomoxetine, pseudoephedrine with loratadine.
Current Illness: None known
Preexisting Conditions: Allergic rhinitis, adhd, anxiety, acne, facial herpes simplex, migraines
Allergies: Sertraline - rash
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Very mild, but unexpected nose bloody nose from left nostril. Only noted when blowing nose. With 1 clot.


Changed on 5/7/2021

VAERS ID: 908846 Before After
VAERS Form:2
Age:49.0
Sex:Female
Location:Missouri
Vaccinated:2020-12-24
Onset:2020-12-24
Submitted:0000-00-00
Entered:2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 039K20A / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Epistaxis, Thrombosis

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: Escitalopram, spironolactone, valcyclovir, trazodone, atomoxetine, pseudoephedrine with loratadine.
Current Illness: None known
Preexisting Conditions: Allergic rhinitis, adhd, anxiety, acne, facial herpes simplex, migraines
Allergies: Sertraline - rash rash
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Very mild, but unexpected nose bloody nose from left nostril. Only noted when blowing nose. With 1 clot.


Changed on 5/14/2021

VAERS ID: 908846 Before After
VAERS Form:2
Age:49.0
Sex:Female
Location:Missouri
Vaccinated:2020-12-24
Onset:2020-12-24
Submitted:0000-00-00
Entered:2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 039K20A / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Epistaxis, Thrombosis

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: Escitalopram, spironolactone, valcyclovir, trazodone, atomoxetine, pseudoephedrine with loratadine.
Current Illness: None known
Preexisting Conditions: Allergic rhinitis, adhd, anxiety, acne, facial herpes simplex, migraines
Allergies: Sertraline - rash rash
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Very mild, but unexpected nose bloody nose from left nostril. Only noted when blowing nose. With 1 clot.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=908846&WAYBACKHISTORY=ON


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