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

This is VAERS ID 1457174



Case Details

VAERS ID: 1457174 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: Alabama  
Vaccinated:2021-06-25
Onset:2021-06-25
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 050C21A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Adverse reaction, Chest pain, Dyspnoea
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (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: Cymbolta, Propanolol, Valacyclovir, Celeloxib, Escitalopram, Clovapam, Cyclobenzapreme, Rizatripatan, Percocet, Tramdol
Current Illness:
Preexisting Conditions:
Allergies: Penacillin, Loratab, Latex gloves,
Diagnostic Lab Data:
CDC Split Type:

Write-up: When I had the vaccine, two nights later I couldn''t breathe and my chest was hurting. I got the shot about 2 weeks ago, and patient stated that she did not go see doctor about Adverse Reaction.. Patient has recovered from Adverse Reaction.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1457174


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