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From the 9/3/2021 release of VAERS data:

This is VAERS ID 1467312



Case Details

VAERS ID: 1467312 (history)  
Form: Version 2.0  
Age: 75.0  
Sex: Female  
Location: New Mexico  
Vaccinated:2021-01-25
Onset:2021-07-13
   Days after vaccination:169
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 013L20A / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Ageusia, COVID-19, Influenza A virus test negative, Influenza B virus test, Respiratory syncytial virus test negative, SARS-CoV-2 test positive
SMQs:, Taste and smell disorders (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

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: Glyb uride/metformin, Atorvastatin, Gabapentin, Pioglitazone, omeprazole, Vit D3, Famotidine, lisinopril, Aspirin 81 mg. Calcium
Current Illness: None
Preexisting Conditions: Peripheeral sensory nnewuopathy, DM type 2, GERD''s, Coronary Arteriosclerosis, hx of MI, Osteoporosis
Allergies: Bee venom, Tylenol, tomato, banana, oranges, Benoxinate/fluorescein
Diagnostic Lab Data: Jul 13, 2021@13:29:08 FLU A (CEPHEID) NEGATIVE, FLU B (CEPHEID) NEGATIVE, RSV (CEPHEID) NEGATIVE _COVID-19 (CEPHEID) POSITIVEA*
CDC Split Type:

Write-up: Loss of taste


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1467312


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