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

This is VAERS ID 1428435



Case Details

VAERS ID: 1428435 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: New York  
Vaccinated:2021-06-10
Onset:2021-06-21
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 027C21A / 1 RA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain upper, Chills, Diarrhoea, Dizziness, Migraine, Sleep disorder, Vomiting
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Noninfectious diarrhoea (narrow)

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: None
CDC Split Type:

Write-up: On 6/21/2021 right before I went to bed, I experienced the worst case of chills ever. I paid it no mind, put several comforters on my bed and went to sleep. At approximately 2 AM I awoke with a maximum migraine, dizziness, diarrhea, stomach ache and throwing up. That lasted three days. Although the throwing up has subsided yesterday evening, I?m still experiencing the stomach aches, dizziness and diarrhea. I?m hoping it?s not the vaccine, being that it?s my first dose and it?s scaring me to take the second dose. I have yet to see any other side effects other than what I?ve seen so far


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