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

This is VAERS ID 1440228



Case Details

VAERS ID: 1440228 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-06-29
Onset:2021-06-29
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 021B21A / 2 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Arthralgia, Chills, Dyspnoea, Fatigue, Headache, Pain
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Arthritis (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:
Other Medications: None
Current Illness: None
Preexisting Conditions: Asthma
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Severe Cold chills, headache, shortness of breath, joint an body aches an pain, fatigue. Used ibuprofen and albuterol, only lasted a day


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