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From the 1/14/2022 release of VAERS data:

This is VAERS ID 1151258

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Case Details

VAERS ID: 1151258 (history)  
Form: Version 2.0  
Age: 79.0  
Sex: Male  
Location: Kansas  
Vaccinated:2021-02-18
Onset:2021-03-11
   Days after vaccination:21
Submitted: 0000-00-00
Entered: 2021-03-31
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 024M20A / 2 AR / SYR

Administered by: Private       Purchased by: ?
Symptoms: Brain neoplasm, Brain tumour operation, Chemotherapy, Drooling, Facial paralysis, Facial spasm, Glioblastoma, Radiotherapy
SMQs:, Malignancy related therapeutic and diagnostic procedures (narrow), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Hearing impairment (broad), Non-haematological malignant tumours (narrow), Non-haematological tumours of unspecified malignancy (narrow)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 14 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Blood Pressure Meds, Aspirin, Metformin ,
Current Illness: None
Preexisting Conditions: COPD
Allergies: Shellfish
Diagnostic Lab Data: MRI''s and many more tests to come.
CDC Split Type:

Write-up: 3 weeks after his 2nd shot, he was seen in the ER due to drooling, facial spasms, and facial paralysis. After many tests and MRI, they found a mass tumor on his brain, They transferred him to Med Center and they did more testing. On March 13th they preformed surgery to remove the mass tumor. After pathology reports were ran, it came back as a cancerous tumor know as a Glioblastoma or GBM. They were able to remove 80%. The remainder of the tumor was in a part of the brain that they would run the risk of permanent damage or paralysis. He will undergo Chemo and Radiation to treat the 20% left.


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