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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 1277155 |
VAERS Form: | 2 |
Age: | 25.0 |
Sex: | Female |
Location: | Florida |
Vaccinated: | 2021-04-30 |
Onset: | 2021-04-30 |
Submitted: | 0000-00-00 |
Entered: | 2021-05-01 |
Vaccination / Manufacturer (1 vaccine) | Lot / Dose | Site / Route |
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA | 008C21A / 1 | LA / SYR |
Administered by: Military Purchased by: ??
Symptoms: Breast feeding
Life Threatening? No
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? No
Previous Vaccinations:
Other Medications: Zoloft
Current Illness: Gastrointestinal bug prior to vaccination. Fully recovered from illness.
Preexisting Conditions: None
Allergies: NKA/NKDA
Diagnostic Lab Data:
CDC 'Split Type':
Write-up: I?m Breastfeeding and at 7:15pm my daughter started developing a fever. She felt warm to the touch. Her forehead temperature was 99.7F. She has since had diarrhea and has been acting very clingy and nursing around the clock. Still going on at 7:11am 05/1/2021
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