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

This is VAERS ID 1446480



Case Details

VAERS ID: 1446480 (history)  
Form: Version 2.0  
Age: 52.0  
Sex: Male  
Location: New Jersey  
Vaccinated:2021-05-04
Onset:2021-06-25
   Days after vaccination:52
Submitted: 0000-00-00
Entered: 2021-07-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 004C21A / 1 LA / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 033C21A / 2 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Discomfort, Dyspnoea, SARS-CoV-2 test negative, Wheezing
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Asthma/bronchospasm (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad), COVID-19 (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: None
Current Illness: None
Preexisting Conditions: None
Allergies: Cipro; Lyrica; Pennsaid
Diagnostic Lab Data: Sought a rapid Covid test at the Pharmacy in town on Monday, 6/26/21, around 10:40AM EST, which came back Negative. On Thursday, 7/2, spoke with my GP to explain symptoms since they were persistent; he agreed we should monitor over the weekend, and I will connect back on Tuesday, 7/6 to update him. If adverse event occurs between now and then, I will seek ER care.
CDC Split Type:

Write-up: Beginning on Friday, 6/25/21, began to feel like lungs were ''heavy,'' and that normal oxygenation wasn''t occurring even with a deep breath. I had attended a memorial visitation the evening of June 6/22/21 at the Funeral Home in town and it was the first time post-vaccination that I attended a gathering (small) without a mask; others were also unmasked. I suspect the issue emanates from this interaction. As of this writing, I feel that I am not getting a full, deep and fully-oxygenated breath when I breath. This morning, around 1AM EST, I had slight wheezing on my inhales, which seems to have subsided after I walked the dog down the block and back (slowly). No other discernable Covid-related symptoms to report.


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