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From the 10/8/2021 release of VAERS data:

This is VAERS ID 1230062



Case Details

VAERS ID: 1230062 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Tennessee  
Vaccinated:2021-03-13
Onset:2021-03-21
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-04-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 022M20A / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Maternal exposure during breast feeding
SMQs:, Neonatal exposures via breast milk (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Prenatal Vitamins
Current Illness:
Preexisting Conditions: Marfans POTS
Allergies: Codeine Adhesives
Diagnostic Lab Data:
CDC Split Type:

Write-up: Nursing daughter developed hair loss 8 days after mother''s vaccination. Saw pediatrician and received referral to pediatric dermatologist the following day. Diagnosed with Alopecia Areata by Dr. 04/07/2021 without obvious triggers than Mother''s vaccination. Otherwise, health of child is normal. Progression of loss continues at about 50% loss in the past 3 weeks.


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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1230062

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