From the 12/10/2021 release of VAERS data:

This is VAERS ID 1277155

Government Disclaimer on use of this data

Case Details

VAERS ID:	1277155 (history)
Form:	Version 2.0
Age:	25.0
Sex:	Female
Location:	Florida

Vaccinated:	2021-04-30
Onset:	2021-04-30
Days after vaccination:	0
Submitted:	0000-00-00
Entered:	2021-05-01

Vaccination / Manufacturer	Lot / Dose	Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA	008C21A / 1	LA / SYR

Administered by: Military Purchased by: ?
Symptoms: Breast feeding
SMQs:

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: Zoloft
Current Illness: Gastrointestinal bug prior to vaccination. Fully recovered from illness.
Preexisting Conditions: None
Allergies: NKA/NKDA
Diagnostic Lab Data:
CDC Split Type:

Write-up: I?m Breastfeeding and at 7:15pm my daughter started developing a fever. She felt warm to the touch. Her forehead temperature was 99.7F. She has since had diarrhea and has been acting very clingy and nursing around the clock. Still going on at 7:11am 05/1/2021

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1277155