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

This is VAERS ID 907461

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Case Details

VAERS ID: 907461 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Oregon  
Vaccinated:2020-12-22
Onset:2020-12-22
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Headache, Injection site discomfort, Injection site pain, Oropharyngeal pain, Pain, Throat irritation, Tonsillar inflammation
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Extravasation events (injections, infusions and implants) (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: Prenatal pill, Levothyroxine, Fluoxetine, Vitamin D3, and Buspirone
Current Illness: None
Preexisting Conditions: None
Allergies: NKA
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Some burning, discomfort in the injection site within the first 15 minutes, which dissipated after about an hour later. Some itching/irritation in the back of the throat, about 30 minutes after injection, that turned into a inflamed/sore tonsil on the right side around 8:00pm in the evening. Waking this morning the day after, around 7:00am, the soreness and irritation in the throat is on both sides, but has dissipated after a few hours, and drinking dome water. My arm has increased soreness the next day, described as a dull ache at rest, and painful with movement. I also have a residual headache that has not dissipated since waking up, but is barely noticeable, and will treat most of these side effects with Ibuprofen.


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