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From the 6/11/2021 release of VAERS data:

This is VAERS ID 1241345



Case Details

VAERS ID: 1241345 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: Idaho  
Vaccinated:2021-04-21
Onset:2021-04-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA ? / 2 - / SYR

Administered by: Public       Purchased by: ?
Symptoms: Chills, Feeling cold, Headache, Injection site pain, Injection site swelling, Limb discomfort, Loss of personal independence in daily activities, Pain, Sleep disorder, Thinking abnormal, Tremor, Vaccine positive rechallenge
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Parkinson-like events (broad), Psychosis and psychotic disorders (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Same symptoms w/ 1st Covid Vaccine
Other Medications: Bupropion 300mg extended release, fish oil, Vitamin B
Current Illness: 1st dose also made me very ill. I had COVID-19 3 months ago.
Preexisting Conditions: Asthma
Allergies: Sulpha
Diagnostic Lab Data:
CDC Split Type:

Write-up: Headache, severe bodyaches, chills/leg shaking violently because I am so cold, unclear thinking, pain and swelling and injection site. The most severe symptoms so far set in at 3 AM and I won?t be able to work tomorrow. This is much more intense than COVID-19 was. I don?t plan to get vaccinated again if this is what I have to go through every time.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1241345


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