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

This is VAERS ID 1327221



Case Details

VAERS ID: 1327221 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-03-11
Onset:2021-05-04
   Days after vaccination:54
Submitted: 0000-00-00
Entered: 2021-05-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, SARS-CoV-2 test positive
SMQs:, Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: unknown
Preexisting Conditions: none
Allergies: unknown
Diagnostic Lab Data: 05/04/2121 positive Covid19 PCR test
CDC Split Type:

Write-up: 2nd covid vaccine received 03/11/2021. Tested positive for covid19 on a routine HCW screen after being fully vaccinated. Asymptomatic.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1327221


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