From the 11/26/2021 release of VAERS data:
This is VAERS ID 906418
| Days after vaccination:||1
|Vaccination / Manufacturer
||Lot / Dose
||Site / Route|
|COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA
||O11J20A / 1
||LA / IM
Administered by: Private Purchased by: ?
SARS-CoV-2 test negative
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad)
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Other Medications: Cozaar 25mg by mouth daily. Vitamin D3 2,000 units by mouth daily.
Current Illness: None
Preexisting Conditions: None
Allergies: Penicillin allergy- break out in rash Codeine allergy- break out in rash
Diagnostic Lab Data: Rapid Covid-19 test done on 12/22/20. Results were Negative.
CDC Split Type:
Write-up: Headache Fever- temp as high as 102.7
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