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From the 1/7/2021 release of VAERS data (an older release, current is 1/14/2022):

This is VAERS ID 908601

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Case Details

VAERS ID: 908601 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Male  
Location: Vermont  
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 025J20A / 1 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Dry mouth, Flushing, Rash macular
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Dehydration (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: blotchy rash flanks, not itchy. ''Flushed'' head to toe. Dry Mouth


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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20210107&IDNUMBER=908601


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