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

This is VAERS ID 1429824



Case Details

VAERS ID: 1429824 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Maryland  
Vaccinated:2021-06-09
Onset:2021-06-20
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-06-26
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Abdominal discomfort, Dysgeusia, Fatigue, Injection site reaction, Pain in extremity, Rash erythematous
SMQs:, Anaphylactic reaction (broad), Taste and smell disorders (narrow), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Using Ivermectin topically for face; go to acupuncture 2x week MRI IV Contrast (6/17/21) 10/10 mL Clariscan single-use vial
Current Illness: C. Diff, Uterine Fibroids and Andemyosis
Preexisting Conditions: Endometriosis, Roscea, Aural Migraines, Bile reflux, IBS
Allergies: Sulfa drugs, egg, Vitamin D3 (lanolin) seasonal allergies,
Diagnostic Lab Data:
CDC Split Type:

Write-up: Arm sore, red rash at injection site, exhaustion, stomach upset, metallic taste in mouth


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