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

This is VAERS ID 1433515



Case Details

VAERS ID: 1433515 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-05-28
Onset:2021-06-26
   Days after vaccination:29
Submitted: 0000-00-00
Entered: 2021-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / SYR
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Contusion, Diarrhoea, Fatigue, Headache, Limb mass, Skin warm
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Pseudomembranous colitis (broad), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), 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:
Current Illness: Seasonal allergies
Preexisting Conditions: Asthma, migraines, night terrors
Allergies: Sulfa
Diagnostic Lab Data:
CDC Split Type:

Write-up: Severe diarrhea for several days, lump on arm that was hot to the touch, bruising, headache, fatigue.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1433515


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