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

This is VAERS ID 932887

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Case Details

VAERS ID: 932887 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-01-10
Onset:2021-01-10
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-01-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 012L20A / 1 LA / SYR

Administered by: Senior Living       Purchased by: ?
Symptoms: Body temperature increased, Pain, Rash
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: n/a
Current Illness: n/a
Preexisting Conditions: None listed
Allergies: None listed on consent form
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient states "hurting all over." Temperature went from 98 degrees to 99 degrees. Her blood pressure was normal when checked twice. Three hours later she started having a rash around neck. Multiple times we asked her if her lips or throat was swelling. She said no. She went to urgent care-they sent her home with advice to take Benadryl or APAP.


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