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

This is VAERS ID 1347837



Case Details

VAERS ID: 1347837 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Male  
Location: Oregon  
Vaccinated:2021-05-21
Onset:2021-05-22
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 033C21A / 2 LA / -

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Fatigue, Headache, Myalgia
SMQs:, Rhabdomyolysis/myopathy (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad)

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: Loratadine OTC, Omeprazole OTC.
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Adverse Events: Exhibited extreme fatigue, persistent headache, persistent muscle aches, persistent joint pain,.


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