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From the 7/23/2021 release of VAERS data:

This is VAERS ID 1328548



Case Details

VAERS ID: 1328548 (history)  
Form: Version 2.0  
Age: 12.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-05-15
Onset:2021-05-18
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-05-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Chills, Headache, Nasal congestion, Pyrexia, Respiratory viral panel, SARS-CoV-2 test, Streptococcus test
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: zyrtec, claritin, multivitamin, vitamin d
Current Illness: n/a
Preexisting Conditions: n/a
Allergies: n/a
Diagnostic Lab Data: Urgent care visit, Covid rapid test, PCR test, respiratory panel, strep (rapid and culture)
CDC Split Type:

Write-up: fever to 102.6 day 3 after vaccine, chills, headache, increased nasal congestion


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1328548


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