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From the 6/11/2021 release of VAERS data:

This is VAERS ID 1246275



Case Details

VAERS ID: 1246275 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-14
Onset:2021-04-21
   Days after vaccination:7
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0151 / 2 - / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Facial discomfort, Fatigue, Herpes zoster, Malaise, Ocular discomfort, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Opportunistic infections (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Celexa 20mg
Current Illness: None
Preexisting Conditions: Granuloma Annulare
Allergies: Sulfa
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Fatigue, febrile, malaise times one week following vaccine. Developed shingles in right eye, and forehead one week post vaccine.


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