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

This is VAERS ID 1375977



Case Details

VAERS ID: 1375977 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: California  
Vaccinated:2021-06-04
Onset:2021-06-04
   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 EW0217 / 2 LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Dizziness, Movement disorder
SMQs:, Anticholinergic syndrome (broad), Akathisia (broad), Dyskinesia (broad), Dystonia (broad), Parkinson-like events (broad), Vestibular disorders (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:
Current Illness:
Preexisting Conditions:
Allergies: Watermelon
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient-reported that her first dose went really well. Within five minutes after administration, patient reported feeling dizzy. Went to go grab water for patient, meanwhile patient witnessed another patient vomiting after his vaccine shot. Patient reported feeling more lightheaded and was assisted to the ground in a lying position. Patient reported feeling dizzy still and was speaking, but stated they could not move her body. EMS was called. HR 90 and BP was 160/90. After about 10 or so minutes, pt still could not move their body, but was still talking slowly. Patient was taken to hospital.


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