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From the 11/26/2021 release of VAERS data:

This is VAERS ID 1749975

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Case Details

VAERS ID: 1749975 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Ohio  
Vaccinated:2021-09-30
Onset:2021-09-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 050E21A / 2 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Inappropriate schedule of product administration, No adverse event
SMQs:, Medication errors (narrow)

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:
Other Medications: sprint tech birth control
Current Illness: none
Preexisting Conditions: sjogrens syndrome
Allergies: female hormones thermogenic
Diagnostic Lab Data:
CDC Split Type:

Write-up: NO ADVERSE EFFENTS , RECEIVED SECOND DOSE 11 DAYS SOONER EARLY


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