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

This is VAERS ID 1438944



Case Details

VAERS ID: 1438944 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: Unknown  
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: Other       Purchased by: ?
Symptoms: Blood test, Dizziness, Dyspnoea, Dysstasia, Feeling abnormal, Gait disturbance, Injection site induration, Injection site swelling, Loss of personal independence in daily activities, Migraine, Pain, Syncope
SMQs:, Torsade de pointes/QT prolongation (broad), Anaphylactic reaction (broad), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Probiotics and women?s multi vitamins
Current Illness: No
Preexisting Conditions: Fibromyalgia
Allergies: Dairy, and gluten
Diagnostic Lab Data: Blood work. No results because they were taking too long, and I had to pick up my child.
CDC Split Type:

Write-up: Hard to breath, right chest, raised, swollen, rock hard injection site (left arm), dizziness, fainting, all over body ache (feels like I?m being stabbed all over), severe migraines, can?t walk or stand or drive longer than 10 minutes.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1438944


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