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This is VAERS ID 919593

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History of Changes from the VAERS Wayback Machine

First Appeared on 1/7/2021

VAERS ID: 919593
VAERS Form:2
Age:64.0
Sex:Male
Location:Iowa
Vaccinated:2020-12-30
Onset:2021-01-02
Submitted:0000-00-00
Entered:2021-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 RA / -

Administered by: Unknown      Purchased by: ??
Symptoms: Culture wound positive, Arthritis bacterial

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)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: hypertension, sleep apnea, osteoarthritis
Allergies: opioids
Diagnostic Lab Data: Positive wound cultures.
CDC 'Split Type':

Write-up: Patient developed a septic knee (history of arthroplasty) need for immediate surgery, hospitalization and months to years of antibiotics in his future now.


Changed on 5/7/2021

VAERS ID: 919593 Before After
VAERS Form:2
Age:64.0
Sex:Male
Location:Iowa
Vaccinated:2020-12-30
Onset:2021-01-02
Submitted:0000-00-00
Entered:2021-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 RA / -

Administered by: Unknown      Purchased by: ??
Symptoms: Culture wound positive, Arthritis bacterial

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)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: hypertension, sleep apnea, osteoarthritis
Allergies: opioids opioids
Diagnostic Lab Data: Positive wound cultures.
CDC 'Split Type':

Write-up: Patient developed a septic knee (history of arthroplasty) need for immediate surgery, hospitalization and months to years of antibiotics in his future now.


Changed on 5/14/2021

VAERS ID: 919593 Before After
VAERS Form:2
Age:64.0
Sex:Male
Location:Iowa
Vaccinated:2020-12-30
Onset:2021-01-02
Submitted:0000-00-00
Entered:2021-01-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 RA / -

Administered by: Unknown      Purchased by: ??
Symptoms: Culture wound positive, Arthritis bacterial

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)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness: none
Preexisting Conditions: hypertension, sleep apnea, osteoarthritis
Allergies: opioids opioids
Diagnostic Lab Data: Positive wound cultures.
CDC 'Split Type':

Write-up: Patient developed a septic knee (history of arthroplasty) need for immediate surgery, hospitalization and months to years of antibiotics in his future now.

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