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From the 6/4/2021 release of VAERS data:

This is VAERS ID 1186078

Case Details

VAERS ID: 1186078 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: Indiana  
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-04-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Dysstasia, Feeling abnormal, Hypoaesthesia, Loss of consciousness
SMQs:, Torsade de pointes/QT prolongation (broad), Peripheral neuropathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (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:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: They did not have me stay at there store and wait a few mintues. I got in my car to drive home. I live 2.9 miles from the store. After about 5-6 minutes in the car, I started to feel bad, and I felt I should pull over. I was on the road and traffic was super busy. I did pass out in front of a store on the road while driving my car. I came too and saw a restaurant. I pulled into their parking lot and texted my husband to come and get me. When he got there, I could barely stand. I layed down in the back of his truck because I could not sit up. My arm went number but I could wiggle my fingers. We did drive to the hospital because I was so weak. but after the 15 minute drive to get to the hospital, I was able to sit up and walk again. I did not want to pay the $500 deductible so I my husband drove me home where I am sitting on the couch resting now. My husband is a Chiropractor, so he has a lot of medical background.

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