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

This is VAERS ID 1776576

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Case Details

VAERS ID: 1776576 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Male  
Location: Foreign  
Vaccinated:2021-10-03
Onset:2021-10-11
   Days after vaccination:8
Submitted: 0000-00-00
Entered: 2021-10-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 016E21A / 1 RA / OT

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dizziness, Fatigue, Headache, Muscle tightness, Myalgia, Pain in extremity
SMQs:, Rhabdomyolysis/myopathy (broad), Anticholinergic syndrome (broad), Dystonia (broad), Eosinophilic pneumonia (broad), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad)

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: -Horny goat weed pill -mild iron pill -zince citrate pill -kelp pill -vatamine D3 pill
Current Illness: None
Preexisting Conditions: Allergies. Congestion, clogged nose
Allergies: No allergies
Diagnostic Lab Data: None
CDC Split Type:

Write-up: My right arm is now really tight all of a sudden. After the tightness went away after a few days of first fires. Pain down my left leg. Muscles feel very sore and tired. Random spikes of head pain. Dizzy in morning.


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