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

This is VAERS ID 1446102



Case Details

VAERS ID: 1446102 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Kentucky  
Vaccinated:2021-06-01
Onset:2021-06-25
   Days after vaccination:24
Submitted: 0000-00-00
Entered: 2021-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 017C21A / 2 RA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Chills, Diarrhoea, Electrocardiogram, Headache, Laboratory test, Nausea, Pain, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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: Iron tablet
Current Illness: NA
Preexisting Conditions: Restless leg syndrome, anxiety
Allergies: NA
Diagnostic Lab Data: 06/28/21 went to family Dr had ekg test and lab work done. Then June 30 emergency room sent by family dr had complete work up labs, ekg, chest pe protocol.
CDC Split Type:

Write-up: First 2 days fever, chills, headache, aching. Then soa, headache, diarrhea, nausea vomiting still going on as of 07/03/2021


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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1446102


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