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

This is VAERS ID 1470520



Case Details

VAERS ID: 1470520 (history)  
Form: Version 2.0  
Age: 27.0  
Sex: Male  
Location: Kentucky  
Vaccinated:2021-04-07
Onset:2021-07-03
   Days after vaccination:87
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 048A21A / 1 LA / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 021B21A / 2 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Laboratory test abnormal
SMQs:

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: no
Current Illness: no
Preexisting Conditions: no
Allergies: no
Diagnostic Lab Data: at home test positive rapid invalid PCR inconclusive
CDC Split Type:

Write-up: became symptomatic 07/03, at home test positive, rapid antigen invalid and PCR inconclusive.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1470520


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