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From the 11/19/2021 release of VAERS data:

This is VAERS ID 912932

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Case Details

VAERS ID: 912932 (history)  
Form: Version 2.0  
Age: 18.0  
Sex: Female  
Location: Ohio  
Vaccinated:2020-12-28
Onset:2020-12-29
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2020-12-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA - / 1 LA / SYR

Administered by: Public       Purchased by: ?
Symptoms: Body temperature decreased, Chills, Contusion, Dizziness, Fatigue, Hot flush, Hyperhidrosis, Pain, Pain in extremity
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Accidents and injuries (narrow), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad), Hypoglycaemia (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: Meningitis B Vaccine; unknown vaccine brand and name; vaccine was administered as an injection into the arm; fever, cold chills,
Other Medications: Humalog insulin, women''s one-a-day multivitamin, Align probiotic, Loestrin birth control
Current Illness: none
Preexisting Conditions: Type 1 diabetes
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: Moderna COVID-19 Vaccine EUA Approximately 16 hours after receiving the vaccine (8 AM), I was woken to hot flashes, sweating, and fever-like symptoms. My arm was also very sore and slightly bruising had occurred. My temperature at this point was 99 degrees. After taking Tylenol at 4 AM for arm soreness and Motrin at 8 AM, symptoms of aching and soreness subsided. At 2 PM I had not had medicine since 8 AM and symptoms resumed. My temperature was 100 degrees and I experienced chills and body aches. It is currently 6 PM and symptoms have mostly subsided, however, my arm is still sore and I feel faint fatigue and soreness all over.


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