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

This is VAERS ID 1490565



Case Details

VAERS ID: 1490565 (history)  
Form: Version 2.0  
Age: 24.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-07-18
Onset:2021-07-18
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest discomfort, Dizziness, Dyspnoea, Hyperhidrosis, Limb discomfort, Lymphadenopathy, Nausea, Urticaria
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: 14 years ago reaction to the flu shot. Hives
Other Medications: Zyrtec Symbicort
Current Illness: no
Preexisting Conditions: asthma
Allergies: seasonal allergies , tree nuts ,flu shot
Diagnostic Lab Data: no
CDC Split Type:

Write-up: At 4:42 shortness breath also became dizzy and nausea Sweating profusely that lasted about 20min. On the 19th had chest tightestness that radiated to arm. Hive and swollen lymph nodes swollen and visible.


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