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

This is VAERS ID 1257698



Case Details

VAERS ID: 1257698 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-04-16
Onset:2021-04-19
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-04-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 001B21A / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Cough, Fatigue, Impaired work ability, Influenza like illness, Malaise, Pyrexia, Rhinorrhoea, Sneezing, Throat irritation
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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:
Other Medications: NA
Current Illness: NA
Preexisting Conditions: PCOS
Allergies: NA
Diagnostic Lab Data:
CDC Split Type:

Write-up: Got the shot on Friday, had normal symptoms on Saturday, felt great on Sunday. Monday I got sick and I?ve been sick ever since. I?m coughing so hard that I tore my throat. I?ve had extreme flu symptoms for a week. My fever never surpasses 99.1 but I have mucus, sneezing, severe fatigue, severe cough. I?ve had to take off work, quarantine because think I have covid. It?s terrible and no one else I?ve talked to has had it this bad.


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