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This is VAERS ID 918839

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History of Changes from the VAERS Wayback Machine

First Appeared on 1/7/2021

VAERS ID: 918839
VAERS Form:2
Age:32.0
Sex:Female
Location:Washington
Vaccinated:2020-12-24
Onset:2021-01-01
Submitted:0000-00-00
Entered:2021-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037K20A / 1 - / IM

Administered by: Private      Purchased by: ??
Symptoms: Cholecystectomy, Lymphadenopathy, Sepsis

Life Threatening? Yes
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: Unknown
Current Illness: Unknown
Preexisting Conditions: Unknown
Allergies: Unknown
Diagnostic Lab Data: Unknown.
CDC 'Split Type':

Write-up: Gallbladder removed, septic, 11mm axillary lymph node.


Changed on 5/7/2021

VAERS ID: 918839 Before After
VAERS Form:2
Age:32.0
Sex:Female
Location:Washington
Vaccinated:2020-12-24
Onset:2021-01-01
Submitted:0000-00-00
Entered:2021-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037K20A / 1 - / IM

Administered by: Private      Purchased by: ??
Symptoms: Cholecystectomy, Lymphadenopathy, Sepsis

Life Threatening? Yes
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: Unknown
Current Illness: Unknown
Preexisting Conditions: Unknown
Allergies: Unknown Unknown
Diagnostic Lab Data: Unknown.
CDC 'Split Type':

Write-up: Gallbladder removed, septic, 11mm axillary lymph node.


Changed on 5/14/2021

VAERS ID: 918839 Before After
VAERS Form:2
Age:32.0
Sex:Female
Location:Washington
Vaccinated:2020-12-24
Onset:2021-01-01
Submitted:0000-00-00
Entered:2021-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037K20A / 1 - / IM

Administered by: Private      Purchased by: ??
Symptoms: Cholecystectomy, Lymphadenopathy, Sepsis

Life Threatening? Yes
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: Unknown
Current Illness: Unknown
Preexisting Conditions: Unknown
Allergies: Unknown Unknown
Diagnostic Lab Data: Unknown.
CDC 'Split Type':

Write-up: Gallbladder removed, septic, 11mm axillary lymph node.

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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=918839&WAYBACKHISTORY=ON


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