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From the 10/15/2021 release of VAERS data:

This is VAERS ID 1696644



Case Details

VAERS ID: 1696644 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: South Carolina  
Vaccinated:2021-09-12
Onset:2021-09-14
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-09-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 037F21A / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Burning sensation, Peripheral coldness
SMQs:, Peripheral neuropathy (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none reported
Current Illness: none reported
Preexisting Conditions: immunocompromised
Allergies: cymbalta
Diagnostic Lab Data: not applicable
CDC Split Type:

Write-up: Patient began to describe a cold feeling throughout her lower left extremities and a burning/hot sensation throughout left arm 10 minutes after injection. I assessed the injection was located in correct area of upper arm muscle. I had the patient wait an additional 10 minutes for monitoring.


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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1696644

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