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|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA||011J20A / 1||LA / IM|
Administered by: Senior Living Purchased by: ??
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Other Medications: Atorvastatin, Ibuprofen, Oxybutinin, Morphine Sulfate
Preexisting Conditions: Chronic pain, high blood pressure
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: Patient was living in a nursing home with positive cases when administered. His age and chronic condition was such that he did not have time after the vaccination to avoid exposure or develop immunity.
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