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From the 11/19/2021 release of VAERS data:

This is VAERS ID 1758934

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Case Details

VAERS ID: 1758934 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Male  
Location: Oklahoma  
Vaccinated:2021-09-09
Onset:2021-09-10
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 3 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Ageusia, Anosmia, Dysgeusia, Dyspnoea, Extra dose administered, Fatigue, Inflammation, Pain, Parosmia
SMQs:, Anaphylactic reaction (broad), Taste and smell disorders (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Medication errors (narrow), Immune-mediated/autoimmune disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: duloxetine, omeprazole
Current Illness: none
Preexisting Conditions: depression, gerd
Allergies: NKDA
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient states he had the first moderna covid vaccine on 6/7/21, he had his second moderna covid vaccine on 8/27/21. Patient states that on 9/9/21 and had a third Moderna Vaccine. patient states within 24 hours he had side effects of shob, body aches, he felt like his bronchials were inflammed, he couldn''t smell anything and lost the taste of somethings. he states since this date he had the horrific smell of metal, he wakes up with the smell and sometimes he can taste it. He feels a fatigue.


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