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

This is VAERS ID 1467294



Case Details

VAERS ID: 1467294 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-07-02
Onset:2021-07-02
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 040A21A / 1 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Feeling hot, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre 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:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pt. reported tingling in hands and then a warm feeling over body. Pt. taken to treatment room and vitals taken. Pt. placed in chair and leaned back with legs lifted. Pt. reports symptoms improving and feeling better. Pt. Dc''d home with mother.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1467294


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