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

This is VAERS ID 1374645



Case Details

VAERS ID: 1374645 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Male  
Location: Indiana  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Fatigue, Nausea, Oropharyngeal pain, Pain, Pyrexia
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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

Write-up: Extreme fatigue and body aches began about 6 hours after the injection. About 24 hours after injection, he had low grade fever (100.3), severe fatigue, body aches, sore throat, and nausea. These symptoms lasted until about 36 hours after injection. Called physician and was instructed to continue with giving Advil and Tylenol on a rotating basis and have him rest and hydrate. I am a registered nurse and was comfortable caring for him at home with this guidance.


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