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

This is VAERS ID 1310949



Case Details

VAERS ID: 1310949 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Virginia  
Vaccinated:2021-01-28
Onset:2021-05-02
   Days after vaccination:94
Submitted: 0000-00-00
Entered: 2021-05-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 024M20A / 2 AR / SYR

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, Confusional state, Dehydration, Gastrointestinal disorder, Renal failure, Seizure
SMQs:, Rhabdomyolysis/myopathy (broad), Acute renal failure (narrow), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (broad), Torsade de pointes, shock-associated conditions (broad), Hypovolaemic shock conditions (broad), Toxic-septic shock conditions (broad), Anaphylactic/anaphylactoid shock conditions (broad), Hypoglycaemic and neurogenic shock conditions (broad), Dementia (broad), Convulsions (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Chronic kidney disease (narrow), Tumour lysis syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Dehydration (narrow)

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? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Multivitamins
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Ask the hospital about this information.
CDC Split Type:

Write-up: On May 2nd started with symptoms of food poison, went to urgent care, gave her hydration and sent her home. On May 7th was taking to the hospital, look very weak and was confused, couldn''t answer basic questions. They kept her in the hospital. On May 8th she had an apparent seizure and was was not until May 11 that she came out of it, being able to recognize people (though very weak). In the meantime her two kidneys stopped working. She continues to have seizures despite of the hospital giving her anti seizure medications. You could talk to the hospital more about the medical details.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1310949


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