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This is VAERS ID 1744706

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/1/2021

VAERS ID: 1744706
VAERS Form:2
Age:21.0
Sex:Female
Location:California
Vaccinated:2021-09-28
Onset:2021-09-29
Submitted:0000-00-00
Entered:2021-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / UNK - / -

Administered by: Pharmacy      Purchased by: ??
Symptoms: Crying, Pain in extremity, Syncope, Tremor, Urinary incontinence, Vomiting, Injected limb mobility decreased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none.
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: none
CDC 'Split Type':

Write-up: My daughter woke up around 5:00 am crying for help. I ran to her room where she had collapsed but was conscious. She vomited and lost control of her bodily functions. She peed on herself. She was shaking and asking me to call 911. She was saying she was dying. I ran to get my phone and when I was calling 911 she said she was feeling ok after vomiting. She is better now but the only symptom is she has a sharp pain in her whole arm, not only the point of needle entry. Its hard for her to move her arm and she describes it as "excruciating pain."

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