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From the 9/17/2021 release of VAERS data:

This is VAERS ID 1371344



Case Details

VAERS ID: 1371344 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Idaho  
Vaccinated:2021-04-22
Onset:2021-06-03
   Days after vaccination:42
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8730 / 2 LA / IM

Administered by: Other       Purchased by: ?
Symptoms: Dizziness, Dyspnoea, Hypotension, Mobility decreased, Nausea, Paraesthesia
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad), Dehydration (broad), Hypokalaemia (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: Lunesta, Seroquel, Trazodone, Levothyroxine, Prazosin, Stool Softener
Current Illness: Small reaction to first Pfizer COVID-19 vaccination
Preexisting Conditions: Iron Deficiency Anemia, Leukopenia, Lymphopenia, Stage 3A Kidney Disease, Hypothyroidism, Mood Disorder, Insomnia
Allergies: Cucumber, Pickles, Relish
Diagnostic Lab Data: Given an anti nausea medication and Benadryl.
CDC Split Type:

Write-up: Drop in blood pressure (92/58), nausea, dizziness, tingling in hands and feet, trouble breathing through a mask, lightheaded, unable to sit up. Symptoms were similar to how an adverse reaction to my food allergy starts.


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