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

This is VAERS ID 1487214



Case Details

VAERS ID: 1487214 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: California  
Vaccinated:2021-07-06
Onset:2021-07-08
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 007C21A / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest X-ray normal, Dyspnoea
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Sudafed, Zyrtec, daily vitamin
Current Illness: None
Preexisting Conditions: Migraine headaches
Allergies: Peanuts, peanut prodcuts, Leviquin
Diagnostic Lab Data: Chest x ray on July 15, 2021.
CDC Split Type:

Write-up: On the second day after the shot, I experienced shortness of breath. This symptom occurred off and on throughout the days and nights in the following 2 weeks. I saw my personal physician a few days after these syptoms began. He ordered a chest x ray which showed no adverse events. The shortness of breath sypmtoms gradually went away each day. As of today (July 20, 2021), the sympotms are almost non existent.


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