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This is VAERS ID 919320

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History of Changes from the VAERS Wayback Machine

First Appeared on 1/7/2021

VAERS ID: 919320
VAERS Form:2
Age:40.0
Sex:Female
Location:Texas
Vaccinated:2020-12-22
Onset:2020-12-22
Submitted:0000-00-00
Entered:2021-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011J20A / 1 RA / IM

Administered by: Work      Purchased by: ??
Symptoms: Dizziness, Hyperhidrosis, Peripheral swelling, Blood test, Immediate post-injection reaction, SARS-CoV-2 test

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)? Yes
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Toperol (high blood pressure) Adderall - 20mg Calcitrol- .5mcg Soduim bycar-650mg
Current Illness: Stage 5 Kidney failure
Preexisting Conditions: Stage 5 Kidney failure
Allergies: Mushrooms Bactriun
Diagnostic Lab Data: Blood test, covid test
CDC 'Split Type': vsafe

Write-up: Right arm swelling very bad right after shot, next day woke up to get ready to work I started to get light headed, dizzy, sweating, felt like I was going to pass out. My husband then called 911. They took me to Hospital ,I stayed there for a couple hours then released. They told me to stay home and the next day I felt fine. I did a televisit with my Nephrologist (Kidney doctor) the following week.


Changed on 5/7/2021

VAERS ID: 919320 Before After
VAERS Form:2
Age:40.0
Sex:Female
Location:Texas
Vaccinated:2020-12-22
Onset:2020-12-22
Submitted:0000-00-00
Entered:2021-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011J20A / 1 RA / IM

Administered by: Work      Purchased by: ??
Symptoms: Dizziness, Hyperhidrosis, Peripheral swelling, Blood test, Immediate post-injection reaction, SARS-CoV-2 test

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)? Yes
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Toperol (high blood pressure) Adderall - 20mg Calcitrol- .5mcg Soduim bycar-650mg
Current Illness: Stage 5 Kidney failure
Preexisting Conditions: Stage 5 Kidney failure
Allergies: Mushrooms Bactriun Bactriun
Diagnostic Lab Data: Blood test, covid test
CDC 'Split Type': vsafe

Write-up: Right arm swelling very bad right after shot, next day woke up to get ready to work I started to get light headed, dizzy, sweating, felt like I was going to pass out. My husband then called 911. They took me to Hospital ,I stayed there for a couple hours then released. They told me to stay home and the next day I felt fine. I did a televisit with my Nephrologist (Kidney doctor) the following week.


Changed on 5/14/2021

VAERS ID: 919320 Before After
VAERS Form:2
Age:40.0
Sex:Female
Location:Texas
Vaccinated:2020-12-22
Onset:2020-12-22
Submitted:0000-00-00
Entered:2021-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011J20A / 1 RA / IM

Administered by: Work      Purchased by: ??
Symptoms: Dizziness, Hyperhidrosis, Peripheral swelling, Blood test, Immediate post-injection reaction, SARS-CoV-2 test

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)? Yes
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: Toperol (high blood pressure) Adderall - 20mg Calcitrol- .5mcg Soduim bycar-650mg
Current Illness: Stage 5 Kidney failure
Preexisting Conditions: Stage 5 Kidney failure
Allergies: Mushrooms Bactriun Bactriun
Diagnostic Lab Data: Blood test, covid test
CDC 'Split Type': vsafe

Write-up: Right arm swelling very bad right after shot, next day woke up to get ready to work I started to get light headed, dizzy, sweating, felt like I was going to pass out. My husband then called 911. They took me to Hospital ,I stayed there for a couple hours then released. They told me to stay home and the next day I felt fine. I did a televisit with my Nephrologist (Kidney doctor) the following week.

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