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

This is VAERS ID 1400000



Case Details

VAERS ID: 1400000 (history)  
Form: Version 2.0  
Age: 41.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-06-03
Onset:2021-06-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 031B21A / 2 LA / SYR
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 019B21A / 1 LA / SYR

Administered by: Work       Purchased by: ?
Symptoms: Dizziness, Fatigue, Headache, Myalgia, Nausea
SMQs:, Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: Havent went for treatment yet. Syptoms just started coming along after 2nd shot. Was otherwise pretty healthy till then.
CDC Split Type:

Write-up: Massive headaches, sore muscles, fatigue, nausea, Occasionally dizzy spells.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1400000


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