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This is VAERS ID 1371572

History of Changes from the VAERS Wayback Machine

First Appeared on 6/4/2021

VAERS ID: 1371572
VAERS Form:2
Age:71.0
Sex:Female
Location:Missouri
Vaccinated:2021-06-01
Onset:2021-06-01
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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? 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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