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From the 10/8/2021 release of VAERS data:

This is VAERS ID 1319598



Case Details

VAERS ID: 1319598 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-04-28
Onset:2021-04-29
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0165 / 1 AR / IM

Administered by: Public       Purchased by: ?
Symptoms: Blood test, Computerised tomogram head, Delusion, Dysgeusia, Feeling abnormal, Hallucination, auditory, Inappropriate affect, Memory impairment, Screaming, Thinking abnormal, Tremor
SMQs:, Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Dementia (broad), Parkinson-like events (broad), Psychosis and psychotic disorders (narrow), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Hostility/aggression (broad), Depression (excl suicide and self injury) (broad), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 6 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: none
Current Illness: none
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data: Blood work and CT of head was completed in the ER with nothing concerning.
CDC Split Type:

Write-up: On 4/29/21 she reported a metallic taste in her mouth. on 4/30/21 she had foggy brain, forgetfulness. The metallic taste and foggy brain continued until the next week. On 5/5/2021 she reported she had a day with God and had several encounters throughtout the day that she stated she was receiving messages from God. Thursday 5/6/2021 she remained home with family and was continously religously preoocupied, paranoid, ranting about the day prior that she had spent with God, mentioned she had been tremboling all day long because she was in the present of God. The next day she couldnt put her thoughts together, disorganized thinking, she had forgetten basic skills of everyday living and how to accomplish them. Laughing and crying at inappropriate times. She was then on 5/7/2021 around 3pm taken to the ER to be evaluated. In the ER she was yelling and screaming responding to voices, hallucinating, delusional. She had to be physically and chemical restrained. They were unsuccessful in stabilizing her and identifying any cause except for post COVID vaccine psychosis and was transferred to psychiatric Hospital for further evaluation and treatment. Which she has been at for 6 days with no improvement. She has not responded to any treatment given.


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