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From the 7/23/2021 release of VAERS data:

This is VAERS ID 1306334



Case Details

VAERS ID: 1306334 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: California  
Vaccinated:2021-05-01
Onset:2021-05-02
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 021C21A / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Asthma, Dizziness, Headache, Nausea
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Asthma/bronchospasm (narrow), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Hypersensitivity (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Vitamin D3 Vitamin c w magnesium and zinc
Current Illness: None
Preexisting Conditions: Asthma
Allergies: Penicillin Theophylline Nuts Shellfish Latex
Diagnostic Lab Data:
CDC Split Type:

Write-up: 5/2/2020 2:30 pm dizziness, nausea lasted 8 hours. Went away. Headache remained 5/2/2020 asthma symptoms flare up. Utilized nebulizer 5 times. Headache remained 5/3/2020 utilized nebulizer 5 times . Headache remained 5/4/2020 utilized nebulizer 5 times. requested meds: received prednisone. 20 mg 2xs daily for 5 days. Headache remained 5/5/2020 began treatment of prednisone. Utilized nebulizer 4 times. No headache 5/6/2020 utilized nebulizer 4 times headache returns 5/7/2020 utilized nebulizer 3 times headache remained 5/8/202 utilized nebulizer 1 time no headache 5/9/2020 discontinued use of nebulizer headache remains 5/10/2020 headache pain near brain stem occipital lobe region 5/11/2020 headache in the morning occipital lobe region. Pain at the top of head corpus callosum region. Right down the middle. Awake at 3:41am w the pain.


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