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This is VAERS ID 913208

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History of Changes from the VAERS Wayback Machine

First Appeared on 1/29/2021

VAERS ID: 913208
VAERS Form:2
Age:19.0
Sex:Female
Location:Utah
Vaccinated:2020-12-29
Onset:2020-12-29
Submitted:0000-00-00
Entered:2020-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Chills, Myalgia

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: Spironolactone, albuterol, Zyrtec
Current Illness:
Preexisting Conditions: Asthma and environmental (seasonal) allergies
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Chills and muscle aches two hours after the vaccine.


Changed on 5/7/2021

VAERS ID: 913208 Before After
VAERS Form:2
Age:19.0
Sex:Female
Location:Utah
Vaccinated:2020-12-29
Onset:2020-12-29
Submitted:0000-00-00
Entered:2020-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Chills, Myalgia

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: Spironolactone, albuterol, Zyrtec
Current Illness:
Preexisting Conditions: Asthma and environmental (seasonal) allergies
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Chills and muscle aches two hours after the vaccine.


Changed on 5/14/2021

VAERS ID: 913208 Before After
VAERS Form:2
Age:19.0
Sex:Female
Location:Utah
Vaccinated:2020-12-29
Onset:2020-12-29
Submitted:0000-00-00
Entered:2020-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Chills, Myalgia

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: Spironolactone, albuterol, Zyrtec
Current Illness:
Preexisting Conditions: Asthma and environmental (seasonal) allergies
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Chills and muscle aches two hours after the vaccine.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=913208&WAYBACKHISTORY=ON


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