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History of Changes from the VAERS Wayback Machine |
VAERS ID: | 2369485 |
VAERS Form: | 2 |
Age: | 4.0 |
Sex: | Male |
Location: | California |
Vaccinated: | 2022-06-28 |
Onset: | 2022-07-07 |
Submitted: | 0000-00-00 |
Entered: | 2022-07-14 |
Vaccination / Manufacturer (1 vaccine) | Lot / Dose | Site / Route |
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA | AS141B / 1 | LA / IM |
Administered by: Pharmacy Purchased by: ??
Symptoms: Abdominal pain, Cold sweat, Delirium, Fatigue, Hyperhidrosis, Hypersomnia, Injection site reaction, Irritability, Malaise, Oral pain, Rash erythematous, Sleep disorder, Decreased appetite, Oropharyngeal pain, Taste disorder, SARS-CoV-2 test negative
Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
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: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Seasonal
Diagnostic Lab Data: Home COVID-19 test, negative
CDC 'Split Type': vsafe
Write-up: Thursday, July 7th, I picked him up from school and walked him home. He only ate part of his fig bar because he said it didn''t taste good. He also didn''t want any dinner which is very rare. He said that his tummy hurt. I assumed it was the fig bar. He finally ate 2 bites of soup but didn''t want any more. When I brushed his teeth I only brushed half because he said it hurt. He went to bed pretty easily but he looked so exhausted. About 10:00pm he woke up and he was sweaty and clammy. He wasn''t feeling well and seemed a bit delirious because he didn''t realize I was really in the room with him as I rocked him. He cried about his tummy hurting and pointed to below his belly button. He cried and said he wanted to go home. He didn''t realize he was home. The next morning he slept in which is rare. He just wanted to keep sleeping but he needed to go to school. He didn''t want breakfast but ate some of a banana. He said it didn''t taste good. I gave him a COVID-19 test and it was negative. He said his throat hurt and he said yes. He was a bit irritable and bit whiny and then he''d be fine. After a little bit he seemed better because he was playing in the floor and went to school. At school he ate breakfast, lunch and afternoon snack and had no problems. When he got home he seemed back to normal. After I talked to the nurse mid morning, I had realized that he had a small red rash (oval size) on his arm. It was at the injection site. I messaged the doctor to let them know.
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