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

This is VAERS ID 1371395



Case Details

VAERS ID: 1371395 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-05-29
Onset:2021-06-01
   Days after vaccination:3
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: Dizziness, Fatigue, Feeling abnormal, Head discomfort, Headache, Nausea
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Dementia (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Low dose combined birth control, Adderall XR 15mg, Adderall 10mg tablet, and B complex vitamin supplement
Current Illness:
Preexisting Conditions: Headaches, IBS, TMJ
Allergies: Penicillin, amoxicillin, and ceclor
Diagnostic Lab Data:
CDC Split Type:

Write-up: Severe headache onset 3 days post vaccine. Residual head pressure, nausea, brain fog, dizziness, extreme fatigue for 2 days following. Currently ongoing.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1371395


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