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

This is VAERS ID 1245507



Case Details

VAERS ID: 1245507 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Female  
Location: California  
Vaccinated:2021-04-05
Onset:2021-04-12
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Back pain, Gait disturbance, Pain, Sleep disorder
SMQs:, Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Arthritis (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin D, Quercetin, turmeric, kelp, Women''s alive multivitamin,
Current Illness: Sore ankle
Preexisting Conditions: In remission from breast cancer, and kidney cancer, high blood pressure
Allergies: Sulfa, latex, various grasses from hayfever
Diagnostic Lab Data: None have been done but I requested a referral from my doctor to an orthopedist. I have a phone appointment scheduled 5/5/21.
CDC Split Type:

Write-up: I had aches all over 2 days after 2nd vaccination on 4/5/21. Within a week, I had constant pain in my left knee and a little in my right. I''m in constant pain which is not relieved with Tylenol, ice or heat compresses, epsom baths, light exercise, or stretching. At night I have trouble sleeping because my knee is so painful. Several times I''ve almost fallen. My lower back is also bothering me because I can''t walk normally and am putting even pressure on my knees, legs, and back. Prior to the second shot, I was having this kind of ongoing pain. It has severely limited my ability to get around and I often use a cane so I won''t fall.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1245507


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