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

This is VAERS ID 1371572



Case Details

VAERS ID: 1371572 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Female  
Location: Missouri  
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 036C21A / 2 LA / SYR

Administered by: Unknown       Purchased by: ?
Symptoms: Arthralgia, Asthenia, Fatigue, Feeling abnormal, Headache, Myalgia, Neck pain, Pain in extremity, Pyrexia
SMQs:, Rhabdomyolysis/myopathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Arthritis (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? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: Robaxin (muscle relaxant)
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Very tired 3hrs after vaccine shot on 6/1/21. Fever 100.5 approx 16hrs after vaccine on 6/2/21. Fever 101.9 approx 18hrs after vaccine 6/2/21. Took ibuprofen. Fever hovered at 100+ to 101+ & occasionally spiking to 102+ 6/2/21. Fever broke approx 4am (approx 41hrs after vaccine shot) 6/3/21. 6/2/21 - fever, headache, L arm, shoulder, neck & shoulder blade pain, full body muscle pain & weakness. Pain was barely relieved by ibuprofen. Weakness , pain & feeling miserable don?t even begin to describe how badly I felt!! 6/3/21 - very painful arm, shoulder, neck, shoulder blade. Weak. 99,9 temp with ibuprofen.


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