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

This is VAERS ID 1394563



Case Details

VAERS ID: 1394563 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-04-26
Onset:2021-06-03
   Days after vaccination:38
Submitted: 0000-00-00
Entered: 2021-06-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 001A21A / UNK - / -
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 030B21A / UNK RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Condition aggravated, Rheumatoid arthritis
SMQs:, Arthritis (narrow), Immune-mediated/autoimmune disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Enbrel
Current Illness: Rheumatoid arthritis
Preexisting Conditions: Rheumatoid arthritis
Allergies: Bee sting
Diagnostic Lab Data:
CDC Split Type:

Write-up: A week after the 1st and about 10 days after the 2nd I had a terrible flare up of my rheumatoid arthritis i felt fine, other than pain in all my joints. Down on couch pain with pain pills I rarely take. Just thought to let you know. I am fine now. Thanks for doing what you do.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1394563


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