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History of Changes from the VAERS Wayback Machine |
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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