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

This is VAERS ID 1437826



Case Details

VAERS ID: 1437826 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-06-28
Onset:2021-06-29
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Headache, Neck pain, Pain in extremity
SMQs:, Arthritis (broad), Tendinopathies and ligament disorders (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: Went to the dentist for a cleaning, had flouride on teeth. May have taken a hydroxyzine to aid in sleep.
Current Illness: None
Preexisting Conditions: Injured ankle.
Allergies: Naproxen
Diagnostic Lab Data:
CDC Split Type:

Write-up: Terrible, excruciating pain in arm of injection, the entire arm but mostly lower. Terrible head and neckache. Worst pain in life besides childbirth, even worse than complete shattering of both ankle bones and heel after being hit by a car.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1437826


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