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From the 10/15/2021 release of VAERS data:

This is VAERS ID 906974



Case Details

VAERS ID: 906974 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: North Dakota  
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 RA / -

Administered by: Private       Purchased by: ?
Symptoms: Feeling hot, Flushing, Hypoaesthesia, Injection site hypoaesthesia, Injection site paraesthesia, Paraesthesia
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Hypersensitivity (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: None
Current Illness: None
Preexisting Conditions: Asthma
Allergies: Shellfish
Diagnostic Lab Data: None
CDC Split Type:

Write-up: About 5 minutes after the vaccine was given patient describes numbness and tingling from injection site to pinky and that lasted about 5 minutes. Patient started feeling a flush/warm feeling across chest about 15 minutes after vaccine. No dizziness or lightheadedness. Flushed feeling lasted about 30 seconds. Patient feels much better after 25 minutes of waiting time. She states she does not require any further treatment.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=906974

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