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This is VAERS ID 937518

History of Changes from the VAERS Wayback Machine

First Appeared on 3/26/2021

VAERS ID: 937518
VAERS Form:2
Age:37.0
Sex:Female
Location:Tennessee
Vaccinated:2020-12-30
Onset:2021-01-11
Submitted:0000-00-00
Entered:2021-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025L20A / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Epistaxis, Swelling face, Thrombosis, Laboratory test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: LABS RESULTS PENDING WITH PCP
CDC 'Split Type':

Write-up: LEFT FACIAL SWELLING WITH LARGE AMOUNT OF NASAL BLEEDING AND CLOTTING. SHE SAW HER PCP AND HAD LAB TESTING AND GIVEN BENEDRYL. SHE WILL F/U WITH PCP AGAIN TODAY.


Changed on 5/7/2021

VAERS ID: 937518 Before After
VAERS Form:2
Age:37.0
Sex:Female
Location:Tennessee
Vaccinated:2020-12-30
Onset:2021-01-11
Submitted:0000-00-00
Entered:2021-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025L20A / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Epistaxis, Swelling face, Thrombosis, Laboratory test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: LABS RESULTS PENDING WITH PCP
CDC 'Split Type':

Write-up: LEFT FACIAL SWELLING WITH LARGE AMOUNT OF NASAL BLEEDING AND CLOTTING. SHE SAW HER PCP AND HAD LAB TESTING AND GIVEN BENEDRYL. SHE WILL F/U WITH PCP AGAIN TODAY.


Changed on 5/14/2021

VAERS ID: 937518 Before After
VAERS Form:2
Age:37.0
Sex:Female
Location:Tennessee
Vaccinated:2020-12-30
Onset:2021-01-11
Submitted:0000-00-00
Entered:2021-01-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025L20A / 1 LA / IM

Administered by: Public      Purchased by: ??
Symptoms: Epistaxis, Swelling face, Thrombosis, Laboratory test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: LABS RESULTS PENDING WITH PCP
CDC 'Split Type':

Write-up: LEFT FACIAL SWELLING WITH LARGE AMOUNT OF NASAL BLEEDING AND CLOTTING. SHE SAW HER PCP AND HAD LAB TESTING AND GIVEN BENEDRYL. SHE WILL F/U WITH PCP AGAIN TODAY.

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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=937518&WAYBACKHISTORY=ON

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