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From the 9/3/2021 release of VAERS data:

This is VAERS ID 1430454

Case Details

VAERS ID: 1430454 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Male  
Location: California  
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenia, Bed rest, Influenza like illness, Pain
SMQs:, Guillain-Barre syndrome (broad)

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: atorvastatin 10mg, ,multi vit. ,relief factor, vit d3, coq10sr, ocuvite
Current Illness: none
Preexisting Conditions: none
Allergies: have had allergic reaction to anti inflammatory drugs a few times
Diagnostic Lab Data:
CDC Split Type:

Write-up: felt like i had the flu the next day. Ached all over no energy, stayed in bed all day

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