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From the 5/7/2021 release of VAERS data:

This is VAERS ID 1146974



Case Details

VAERS ID: 1146974 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-03-29
Onset:2021-03-30
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-03-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (UNKNOWN)) / UNKNOWN MANUFACTURER 1805031 / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Chills, Heart rate increased, Laboratory test normal, Mobility decreased, Muscle spasms, Speech disorder, Swelling, Swollen tongue, Tremor
SMQs:, Anaphylactic reaction (narrow), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Dystonia (broad), Parkinson-like events (broad), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: No e
Diagnostic Lab Data: Lab tests came back negative
CDC Split Type:

Write-up: Woke up to severe muscle spasms, swollen tongue, swollen neck, resting heartbeat over 150bmp. Could barely walk or talk due to shaking and chills. This lasted 45 minutes but was nearly gone by the time I reached the ER. Doctors gave me a IV with Pepcid, Benadryl and steroids.


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