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From the 9/17/2021 release of VAERS data:

This is VAERS ID 1433306



Case Details

VAERS ID: 1433306 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Mississippi  
Vaccinated:2021-06-03
Onset:2021-06-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Chest pain, Feeling abnormal, Hypoaesthesia, Impaired work ability, Myalgia, Pain in extremity, X-ray
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Dementia (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: vitamins
Current Illness: no
Preexisting Conditions: no
Allergies: no
Diagnostic Lab Data: x rays (mri on next visit)
CDC Split Type:

Write-up: muscle ache, simple jobs were impossible, joint pain, leg pain, arm feels numb and weird. walking causes chest pains. dr says do not take 2nd vax.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1433306


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