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

This is VAERS ID 1314096



Case Details

VAERS ID: 1314096 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Male  
Location: Iowa  
Vaccinated:2021-05-03
Onset:2021-05-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 006C21A / 2 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Epistaxis
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow)

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: loratadine, l-lysine
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient has a history of occasional nose bleeds, however after receiving 2nd Moderna vaccine he is experiencing nose bleeds every other day lasting $g20 minutes.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1314096


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