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From the 9/17/2021 release of VAERS data:

This is VAERS ID 1392522

Case Details

VAERS ID: 1392522 (history)  
Form: Version 2.0  
Age: 30.0  
Sex: Female  
Location: New York  
   Days after vaccination:138
Submitted: 0000-00-00
Entered: 2021-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: ?
Symptoms: Ageusia, Anosmia, COVID-19, Headache, Pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
SMQs:, Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (broad), COVID-19 (narrow)

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:
Other Medications: I was not taking Lexapro at the time of vaccination but I now take 5mg daily. I have Kyleena IUD.
Current Illness: No
Preexisting Conditions: HPV
Allergies: No
Diagnostic Lab Data: I got two covid tests .
CDC Split Type:

Write-up: I contracted COVID-19 and started having symptoms on June 3rd. I have a fever, no smell and taste, congestion, headache, body aches.

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