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

This is VAERS ID 1371982



Case Details

VAERS ID: 1371982 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: California  
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 009C21A / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Atrial flutter, Chest discomfort, Chills, Dyspnoea, Hyperhidrosis, Joint swelling, Musculoskeletal stiffness, Nausea, Oedema peripheral, Oropharyngeal pain, Pollakiuria, Productive cough, Pyrexia, Swelling, Wheezing
SMQs:, Cardiac failure (broad), Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (broad), Asthma/bronchospasm (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Supraventricular tachyarrhythmias (narrow), Dystonia (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Infective pneumonia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: 2012
Other Medications: None
Current Illness: Rheumatoid Arthritis, Asthma, Basilar Migraines.
Preexisting Conditions: Rheumatoid Arthritis, Asthma, Basilar Migraines
Allergies: Tetracycline, Codeine, nuts, casin, fermented food
Diagnostic Lab Data: None at this time.
CDC Split Type:

Write-up: Wheezing, productive cough, 102.2 fever, bilateral leg edema, joint pain with edema, shortness of breath, chills, urinating every 45min - 1hour, A-Flutter, tightness in chest and back, profuse sweating, sore throat, neck swelling, and nausea. Took otc pain reliever.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1371982


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