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

This is VAERS ID 1375961



Case Details

VAERS ID: 1375961 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-06-03
Onset:2021-06-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 047C21A / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chills, Feeling of body temperature change, Mobility decreased, Neck pain, Neurological symptom, Pain in extremity, Skin burning sensation, Tremor
SMQs:, Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: muscle pains and extreme fatigue
Other Medications: Tizanidine (at 6pm) Tylenol (noon)
Current Illness: n/a
Preexisting Conditions: Hernia repair with mesh. depression.
Allergies: Latex, Codine,
Diagnostic Lab Data: Hospital ER couldnt explain what was going on. ER doctor said over-dozing on Tizanidine could cause those reactions/symptomes, but the amount in my system as so low he didnt know what could be causing it. They gave me a large infection Lorazapam to stop the shaking. Which worked, and monitored me for a few hours. My nervious system is so hyper activeated clothing feels like sandpaper. and when they tried to run an IV I thought they where trying to break my arm. They sent me home shortly after that. The tremors stopped but im highly light sensitive, and my skin feels like its still burnt to a crisp even tho my skin shows no outward change.
CDC Split Type:

Write-up: had a very sore arm and neck few hours after shot (9am). I could barely move my neck. I took a 1/2 pill of Tizanidine 4pm tablet. (so 2 mg) at 6pm. sore am and neck became much better. I was sitting around for hours working on my PC, then around 2am. My skin instantly felt like I had the worst sunburn of my life, and my entire body was shaking and shiving and I couldnt control it at all. I was shaking violently. I tried to lay down thinking maybe It was a fever and I suddently got cold. But I wasnt cold. Just insanely hot and shaking violently laying down made it worse. My spouse transported me to the ER.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1375961


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