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

This is VAERS ID 1446462



Case Details

VAERS ID: 1446462 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Male  
Location: D.C.  
Vaccinated:2021-05-01
Onset:2021-06-01
   Days after vaccination:31
Submitted: 0000-00-00
Entered: 2021-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 036C21A / UNK LA / -
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 045B21A / UNK LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Alopecia areata, Influenza like illness
SMQs:, Immune-mediated/autoimmune disorders (narrow)

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:
Current Illness:
Preexisting Conditions:
Allergies: Penicillin
Diagnostic Lab Data: None (yet)
CDC Split Type:

Write-up: Alopecia areata just after second Covid Moderna shot, which caused severe flu-like symptoms for 48 hours after the shot was administered.


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