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

This is VAERS ID 1757322

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Case Details

VAERS ID: 1757322 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-09-30
Onset:2021-09-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 034C21A / 2 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Dizziness, Fatigue, Hyperhidrosis, Hypoaesthesia, Migraine, Nausea, Paraesthesia, Pyrexia, Tremor, Vertigo, Vision blurred, Vomiting
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Glaucoma (broad), Lens disorders (broad), Retinal disorders (broad), Vestibular disorders (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Sexual dysfunction (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: Setraline 50 mg per day
Current Illness: NA
Preexisting Conditions: NA
Allergies: sulfa antibiotics
Diagnostic Lab Data: Did not go to the ER
CDC Split Type:

Write-up: Fever of 102.9 Uncontrollable shaking Terrible migraine Numb arm on and off tingling N/V extreme fatigue Severe dizziness /vertigo Excessive sweating Blurry vision


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1757322


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