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From the 9/10/2021 release of VAERS data:

This is VAERS ID 1371765



Case Details

VAERS ID: 1371765 (history)  
Form: Version 2.0  
Age: 79.0  
Sex: Female  
Location: New York  
Vaccinated:2021-06-03
Onset:2021-06-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0178 / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Ear discomfort
SMQs:

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: Amlodopine, Diovan, Latanaprost, Cosopt take daily
Current Illness: High blood pressure,
Preexisting Conditions: Lupus, High blood pressure,Glaucoma
Allergies: IVP dye,Iodine, nitroglycerin, aspirin/NSAIDS, Prolensa, Sulfa drugs, penicillin, Shellfish, Cats, Dogs, Horses, Pollen, Dust, Mites
Diagnostic Lab Data: None.
CDC Split Type:

Write-up: Adverse event: ears "clogged up" i.e. filled with fluid. A common allergic reaction with me. Lasted several hours. Going away after a few hours.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1371765


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