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

This is VAERS ID 1371390



Case Details

VAERS ID: 1371390 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Arizona  
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 - / 2 RA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Fatigue, Headache, Injection site warmth, Pain, Pain in extremity, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Tendinopathies and ligament disorders (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: Fexofenadine
Current Illness:
Preexisting Conditions: Depression, anxiety
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Headache, high fever (102+) for first 24 hours, 99-100 temp following, fatigue, severe pain in arm, aches, hot arm where shot was administered, everything hurts.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1371390


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