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

This is VAERS ID 1456759



Case Details

VAERS ID: 1456759 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: California  
Vaccinated:2021-06-11
Onset:2021-06-01
Submitted: 0000-00-00
Entered: 2021-07-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037CZ1A / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Discomfort, Limb discomfort, Lymphadenopathy, Pain, Pain in extremity, Sleep disorder, Swelling
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Tendinopathies and ligament disorders (broad), 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: H1N1 vaccine years ago, worst body aches of my life. Lasted 24 hours.
Other Medications: None
Current Illness: none
Preexisting Conditions: asthma, chronic anemia, low vitamin D
Allergies: Allergies to shellfish, sensitivity to English walnuts family of nuts, roaches, pollen, gardenia flowers, sensitivity to latex.
Diagnostic Lab Data: None
CDC Split Type:

Write-up: About a week after the injection I started to feel a discomfort on my left side in the arm pit area. Felt like it was swollen and it felt uncomfortable to lie down on my right side because my left arm was causing pressure on my arm pit area. I felt minor pain/discomfort on left hand as well, the discomfort would radiate from my arm pit to my pinky finger and back. By the second week the pain/discomfort was more noticeable during the day and night time. It was not constant, but it would appear during the day. The third week I had one day (6/9/21) were the pain/discomfort caused me to not be able to sleep. I looked at my arm pits, they did not look swollen, but they felt swollen. By then both of my arm pits were now feeling discomfort but the left was more intense then the right side. I feel like the left side has swollen lymph nodes. I did not do anything but report. Did not take tylenol or anything medications for the discomfort.


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