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

This is VAERS ID 1487075



Case Details

VAERS ID: 1487075 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Male  
Location: Unknown  
Vaccinated:2021-02-09
Onset:2021-07-08
   Days after vaccination:149
Submitted: 0000-00-00
Entered: 2021-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 039K20-2A / 1 LA / IM
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 030M20A / 2 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Headache, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies: Cephalexin
Diagnostic Lab Data: POCT SARS-COV-2 Rapid: SARS-COV-2 detected (7/8/2021)
CDC Split Type:

Write-up: Pt is 36 yo male, employee at this institution. He is s/p Moderna COVID-19 full vaccination: first dose on 1/2/2021, second dose on 2/9/2021. Underwent voluntary COVID-19 rapid testing on 7/8 after experiencing symptoms including headache, sore throat, and congestion/runny nose. Pt reported possible exposure to COVID-19. Rapid test resulted positive. Patient advised to self-isolate for 10 days after symptom onset and contacted by local health department.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1487075


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