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

This is VAERS ID 1430640



Case Details

VAERS ID: 1430640 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Male  
Location: Florida  
Vaccinated:2021-06-25
Onset:2021-06-26
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Fatigue, Headache, Injection site pain
SMQs:, Extravasation events (injections, infusions and implants) (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: headache (pain scale 3 out of 10, with zero being no pain), minor fatigue
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: none
CDC Split Type:

Write-up: by 9am on 6/26/21 a little over 1/2 a day from time of Moderna Shot #2 I had minor fatigue and a very slight headache, but my arm at injection site hurt about a 5 out of 10 on a pain scale with zero being no pain. I took 2 Tylenol gel caps about 10am, then again about 8pm that day, then on Sunday about 9am and the headache was gone. I was lucky and was functional both days following the second shot with only the very minor reaction. Today, Monday, 6/28/21, I would never know I had the shot, the arm and the headache and fatigue are gone.


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