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

This is VAERS ID 1371122



Case Details

VAERS ID: 1371122 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 024C21A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Fatigue, Pain
SMQs:

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: Slight body aches and fatigue
Other Medications: None
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Tree nut allergy
Diagnostic Lab Data:
CDC Split Type:

Write-up: Slight body aches started ~8 hours after injection, followed by chills, fatigue, and body aches at ~10 hours after injection. Took 2 Tylenol (500 mg each) at 12 hours after injection. 24 hours after injection, slight body aches and fatigue persisted. Took 2 Tylenol again at ~26 hours and at ~31 hours after injection to help relieve body aches. 48 hours after injection, no side effects were present.


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