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

This is VAERS ID 1470267



Case Details

VAERS ID: 1470267 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-07-12
Onset:2021-07-13
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 049CZ1A / 2 LA / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Body temperature increased, Fatigue, Hypoaesthesia, Nausea, Pain, Pain in extremity, Paraesthesia
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations: 1st dose Moderna Covid-19
Other Medications: None
Current Illness:
Preexisting Conditions: Fibromyalgia
Allergies: None
Diagnostic Lab Data: Just an oscillation of movement to discard paralysis
CDC Split Type:

Write-up: Exhaustion, generalized pain, 101.3 fever. Numbness and tingling with pain on whole right arm (vaccine was administered on left). Nausea. Went to urgent care. Dr. Stated that paresthesia can be a side effect.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1470267


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