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

This is VAERS ID 1371246



Case Details

VAERS ID: 1371246 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-05-27
Onset:2021-06-03
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Injection site rash, Injection site swelling, Injection site warmth, Lymph node pain, Lymphadenopathy, Musculoskeletal stiffness, Paraesthesia, Rash erythematous, Rash pruritic
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Dystonia (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Arthritis (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pain and swelling in lymph nodes in injected arm underarm, feeling of pins and needles, stiffness in whole arm (like the feeling you get when you need to stretch, but no relief after stretching), hot red itchy rash and swelling around injection site that started 1 week after injection.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1371246


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