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

This is VAERS ID 1468382



Case Details

VAERS ID: 1468382 (history)  
Form: Version 2.0  
Age: 40.0  
Sex: Female  
Location: California  
Vaccinated:2021-07-05
Onset:2021-07-13
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Burning sensation, Injection site induration, Injection site mass, Injection site pain, Pain in extremity, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Tendinopathies and ligament 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: Vitamens
Current Illness: Staph infection for the first time ever in my life on my face. Had to go to emergency room & given strong antibiotic Rx.
Preexisting Conditions: None.
Allergies: Yes ? allergies to basically everything that grows. Trees, grass, pollen, cats, weeds, certain chemicals, cosmetics & make up products, hygiene items, latex, etc etc. No allergies to any medications that I am aware of.
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Sore arm with tender big hard ball lump at site of injection. Also tingling & burning in my back shoulder blade area to back of upper arm randomly.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1468382


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