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From the 6/4/2021 release of VAERS data:

This is VAERS ID 1228597



Case Details

VAERS ID: 1228597 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Male  
Location: Puerto Rico  
Vaccinated:2021-04-10
Onset:2021-04-11
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 031A21A / 2 LA / SYR

Administered by: Military       Purchased by: ?
Symptoms: Lymphadenopathy
SMQs:, Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: PERCOCET
Diagnostic Lab Data: N/.A
CDC Split Type:

Write-up: PATIENT WITH FOLLICULITIS, CURRENTLY TAKING CIPROFLOXACIN 1 DAY IN EVALUATION AS PRESCRIBED BY HIS PCP. MILD LYMPHADENOPATHY,NO DISTRESS, NO URTICARIAL RASH, NO FACIAL OR ORAL MUCOSA SWELLING, NO DISTRESS, PT DISCHARGED HOME WITH FOLLOW UP WITH PCP


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