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

This is VAERS ID 1464295



Case Details

VAERS ID: 1464295 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-05-24
Onset:2021-07-02
   Days after vaccination:39
Submitted: 0000-00-00
Entered: 2021-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 036C21A / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Biopsy cervix, Gynaecological examination, Heavy menstrual bleeding, Laboratory test, Oligomenorrhoea, Smear cervix, Ultrasound scan
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Fertility disorders (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: Hydrochlorithizide .25 mg
Current Illness: none
Preexisting Conditions: High Blood pressure
Allergies:
Diagnostic Lab Data: Lab work done on 6/15/21 Ultrasound 6/30/21 Pap Smear, Pelvic exam, biopsy of cervix 7/1/21 I was told I would need a Hysteroscopy, it will be scheduled until September unless I have to go to the Emergency Department due to my bleeding then it will be done by emergency
CDC Split Type:

Write-up: I started bleeding on 06/02/21 from what i though was a regular menstrual cycle and have been bleeding ever since. I have been to the Dr. twice, for heavy, abnormal bleeding and abnormal clotting . First Dr. visit was on 06/15/21, bleeding for two weeks I was put on medication to control it, I was sent to do an ultrasound on 6/30/21, and had a biopsy done on 7/1/21. Results pending until the 20th of July 2021. To this date I am still bleeding however it is controlled by medication. If I skip my medication for a day I will start to bleed heavy. I have been bleeding for a month and ten days.


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