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This is VAERS ID 2435987

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Color Schemes (Before/After):

First Appeared on 9/16/2022

VAERS ID: 2435987
VAERS Form: 2
Age: 8.0
Sex: Male
Location: Hawaii
Vaccinated: 2022-08-20
Onset: 2022-08-22
Submitted: 0000-00-00
Entered: 2022-09-09
Vaccin­ation / Manu­facturer (2 vaccines) Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA AR6965B / 1 LA / IM
FLU4: INFLUENZA (SEASONAL) (FLUZONE QUADRIVALENT) / SANOFI PASTEUR UT7681KA / 1 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Abdominal discomfort, Injection site pain, Nausea, Pain, Pain in extremity, Vomiting, Axillary pain, Feeding disorder, Decreased appetite

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: NKA
Diagnostic Lab Data: None
CDC 'Split Type':

Write-up: Pain at injection point and adjacent armpit. Pain throughout his arm and legs when picked up from school yesterday 8/22/2022, he also said his arms and legs hurt really bad all day whenever he moved. Pain throughout body is continuing today 8/23/2022. Loss of appetite. Pt. is normally the biggest eater in the family however, he is saying his stomach is bothering him and he is unable to eat. Nauseous: He woke up feeling nauseous and vomited. Decreased appetite for 1 week.

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