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From the 1/14/2022 release of VAERS data:

This is VAERS ID 908164

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Case Details

VAERS ID: 908164 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Alaska  
Vaccinated:2020-12-21
Onset:2020-12-22
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2020-12-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 011J20A / 1 LA / IM

Administered by: Military       Purchased by: ?
Symptoms: Arthralgia, Fatigue, Headache, Injection site erythema, Injection site mass, Injection site warmth, Myalgia, Pain in extremity
SMQs:, Rhabdomyolysis/myopathy (broad), Extravasation events (injections, infusions and implants) (broad), Eosinophilic pneumonia (broad), Arthritis (broad), Tendinopathies and ligament disorders (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: Vitmain D3, Calcium, Magnesium
Current Illness: none
Preexisting Conditions: Pleuritis? Some recurring chest pain but I never got a definitive diagnosis of cause.
Allergies: Zithromax, Tobramycin, Neosporin, Sulfa, Amoxicyllin, Rifampin, Isoniazid
Diagnostic Lab Data:
CDC Split Type:

Write-up: Woke up with just a sore arm the following day. As time progressed my arm got more sore; the site was hot, with a red circle and lump under the skin. Headache, muscle and joint aches, fatigue. Treated with some Nyquil, Excedrin, and sleep. Onset was about 16 hours after the original dose. almost 2 days later I''m still very fatigued, although the rest of the pain has largely gone away.


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