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This is VAERS ID 912932

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History of Changes from the VAERS Wayback Machine

First Appeared on 1/22/2021

VAERS ID: 912932
VAERS Form:2
Age:18.0
Sex:Female
Location:Ohio
Vaccinated:2020-12-28
Onset:2020-12-29
Submitted:0000-00-00
Entered:2020-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / SYR

Administered by: Public      Purchased by: ??
Symptoms: Body temperature decreased, Chills, Dizziness, Fatigue, Hyperhidrosis, Pain, Pain in extremity, Contusion, Hot flush

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: Meningitis B Vaccine; unknown vaccine brand and name; vaccine was administered as an injection into the arm; fever, cold chills,
Other Medications: Humalog insulin, women''s one-a-day multivitamin, Align probiotic, Loestrin birth control
Current Illness: none
Preexisting Conditions: Type 1 diabetes
Allergies: none
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Moderna COVID-19 Vaccine EUA Approximately 16 hours after receiving the vaccine (8 AM), I was woken to hot flashes, sweating, and fever-like symptoms. My arm was also very sore and slightly bruising had occurred. My temperature at this point was 99 degrees. After taking Tylenol at 4 AM for arm soreness and Motrin at 8 AM, symptoms of aching and soreness subsided. At 2 PM I had not had medicine since 8 AM and symptoms resumed. My temperature was 100 degrees and I experienced chills and body aches. It is currently 6 PM and symptoms have mostly subsided, however, my arm is still sore and I feel faint fatigue and soreness all over.


Changed on 5/7/2021

VAERS ID: 912932 Before After
VAERS Form:2
Age:18.0
Sex:Female
Location:Ohio
Vaccinated:2020-12-28
Onset:2020-12-29
Submitted:0000-00-00
Entered:2020-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / SYR

Administered by: Public      Purchased by: ??
Symptoms: Body temperature decreased, Chills, Dizziness, Fatigue, Hyperhidrosis, Pain, Pain in extremity, Contusion, Hot flush

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: Meningitis B Vaccine; unknown vaccine brand and name; vaccine was administered as an injection into the arm; fever, cold chills,
Other Medications: Humalog insulin, women''s one-a-day multivitamin, Align probiotic, Loestrin birth control
Current Illness: none
Preexisting Conditions: Type 1 diabetes
Allergies: none none
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Moderna COVID-19 Vaccine EUA Approximately 16 hours after receiving the vaccine (8 AM), I was woken to hot flashes, sweating, and fever-like symptoms. My arm was also very sore and slightly bruising had occurred. My temperature at this point was 99 degrees. After taking Tylenol at 4 AM for arm soreness and Motrin at 8 AM, symptoms of aching and soreness subsided. At 2 PM I had not had medicine since 8 AM and symptoms resumed. My temperature was 100 degrees and I experienced chills and body aches. It is currently 6 PM and symptoms have mostly subsided, however, my arm is still sore and I feel faint fatigue and soreness all over.


Changed on 5/14/2021

VAERS ID: 912932 Before After
VAERS Form:2
Age:18.0
Sex:Female
Location:Ohio
Vaccinated:2020-12-28
Onset:2020-12-29
Submitted:0000-00-00
Entered:2020-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / SYR

Administered by: Public      Purchased by: ??
Symptoms: Body temperature decreased, Chills, Dizziness, Fatigue, Hyperhidrosis, Pain, Pain in extremity, Contusion, Hot flush

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: Meningitis B Vaccine; unknown vaccine brand and name; vaccine was administered as an injection into the arm; fever, cold chills,
Other Medications: Humalog insulin, women''s one-a-day multivitamin, Align probiotic, Loestrin birth control
Current Illness: none
Preexisting Conditions: Type 1 diabetes
Allergies: none none
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Moderna COVID-19 Vaccine EUA Approximately 16 hours after receiving the vaccine (8 AM), I was woken to hot flashes, sweating, and fever-like symptoms. My arm was also very sore and slightly bruising had occurred. My temperature at this point was 99 degrees. After taking Tylenol at 4 AM for arm soreness and Motrin at 8 AM, symptoms of aching and soreness subsided. At 2 PM I had not had medicine since 8 AM and symptoms resumed. My temperature was 100 degrees and I experienced chills and body aches. It is currently 6 PM and symptoms have mostly subsided, however, my arm is still sore and I feel faint fatigue and soreness all over.

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