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From the 9/3/2021 release of VAERS data:

This is VAERS ID 908846



Case Details

VAERS ID: 908846 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: Missouri  
Vaccinated:2020-12-24
Onset:2020-12-24
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 039K20A / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Epistaxis, Thrombosis
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (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: Escitalopram, spironolactone, valcyclovir, trazodone, atomoxetine, pseudoephedrine with loratadine.
Current Illness: None known
Preexisting Conditions: Allergic rhinitis, adhd, anxiety, acne, facial herpes simplex, migraines
Allergies: Sertraline - rash
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Very mild, but unexpected nose bloody nose from left nostril. Only noted when blowing nose. With 1 clot.


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