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

This is VAERS ID 906868

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Case Details

VAERS ID: 906868 (history)  
Form: Version 2.0  
Age: 44.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2020-12-22
Onset:2020-12-22
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 025J20-2A / 1 LA / -

Administered by: Private       Purchased by: ?
Symptoms: Hypoaesthesia, Injection site coldness, Injection site hypoaesthesia, Peripheral coldness
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (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:
Current Illness: None
Preexisting Conditions: Endorometriosis
Allergies: Strawberries, blackberries, cinnamon oil Hydrocortisone
Diagnostic Lab Data: None
CDC Split Type:

Write-up: About 5 minutes after receiving vaccination patient noticed her left arm was very cold and then it went numb from the base of her left ear to her hand. Tested strength in both hands and it was equal. After 20 minutes the patient stated that the numbness was going away but the coldness was still present in the left arm.


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