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From the 9/3/2021 release of VAERS data:

This is VAERS ID 1385520



Case Details

VAERS ID: 1385520 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-06-03
Onset:2021-06-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Body temperature increased, Cough, Dysphonia, Headache, Insomnia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: cough, 18 yo, 4/29/21, COVID-19, Moderna
Other Medications: Levothyroxine 100mcg/day, Focalin XR 30mg qd, MVI, Claritin 10mg qd, Singulair 10mg qd
Current Illness: None
Preexisting Conditions: ADHD, allergic rhinitis, autism, hypothyroidism
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Severe dry cough, temperate max = 99.4, hoarseness, headache, insomnia


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1385520


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