This is VAERS ID 1139952

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History of Changes from the VAERS Wayback Machine

First Appeared on 5/14/2021

Vaccin­ation / Manu­facturer (1 vaccine)	Lot / Dose	Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA	- / 1	RA / SYR

Administered by: Military      Purchased by: ??
Symptoms: Breast feeding, Pain in extremity

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type':

Write-up: Breastfeeding exclusively an 11 week old infant boy. I have no adverse effects other than sore arm but within 24 hrs baby appetite decreased and vomited once so far.

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