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From the 9/10/2021 release of VAERS data:

This is VAERS ID 1371088



Case Details

VAERS ID: 1371088 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-06-02
Onset:2021-06-03
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025C21A / 1 RA / IM

Administered by: Senior Living       Purchased by: ?
Symptoms: Arthralgia, Impaired work ability, Pain in extremity, Peripheral swelling
SMQs:, Cardiac failure (broad), Angioedema (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Arthritis (broad), Tendinopathies and ligament disorders (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: No medications
Current Illness: fibromyalgia
Preexisting Conditions: None
Allergies: Sulfa and morphine
Diagnostic Lab Data: Staff memeber will be going to urgent care when it opens today @ 10:00. She was sent home at this time.
CDC Split Type:

Write-up: Staff member received vaccination @ 10:35 on 6/2/2021 @ Health Care Center from nurse . She awakened this morning with swelling and pain noted to the right index and middle finger on the right hand. She received her injection on the right arm. Staff member complains of all over joint pain. She does have a history of fibromyalgia. She has not other symptoms at this time.


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