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From the 10/8/2021 release of VAERS data:

This is VAERS ID 908824



Case Details

VAERS ID: 908824 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: South Dakota  
Vaccinated:2020-12-23
Onset:2020-12-23
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 0011J20A / 1 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Abdominal discomfort, Cough, Pain, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: multivitamin gummy, pherpine,
Current Illness: None
Preexisting Conditions: None
Allergies: No Known Allergies
Diagnostic Lab Data: None-may covid test if symptoms persist for 72 hours
CDC Split Type:

Write-up: body aches, fever 100.5 oral, cough, upset stomach


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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=908824

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