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

This is VAERS ID 1470291



Case Details

VAERS ID: 1470291 (history)  
Form: Version 2.0  
Age: 68.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-06-15
Onset:2021-07-01
   Days after vaccination:16
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 005C21A / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Hypoaesthesia, Limb discomfort, X-ray
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Trazodone 200mg, Hydrohybamoate 50mg, Tamsulosin 0.4mg, Adderall, Mirtazapine 45mg, Atorvastatin 20mg, Aripiprazole 5mg, aspirin tabs 81mg, Doxepin 100mg,
Current Illness: no
Preexisting Conditions: COPD, Bronchitis, Emphysema
Allergies: no
Diagnostic Lab Data: yes, x rays at hospital
CDC Split Type:

Write-up: numbness from top of head all the way to the bottom of feet, heavy feeling in foot and arm on the left side, on right big toe numbness


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1470291


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