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

This is VAERS ID 1388814



Case Details

VAERS ID: 1388814 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Female  
Location: Kansas  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / IM

Administered by: Unknown       Purchased by: ?
Symptoms: Muscle contractions involuntary
SMQs:, Dystonia (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: Influenza vaccines-she experienced similar muscle tetany
Other Medications: Claritin 10mg, Flonase nasal spray, Depo-Provera IM injection
Current Illness: Amplified pain syndrome
Preexisting Conditions: Amplified pain syndrome, IBS, migraines, exercise induced asthma, obesity
Allergies: Compazine, sulfa, influenza vaccines (developed muscle tetany)
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Within 30 minutes of the injection she developed forceful, involuntary muscle contractions to her abdomen and B. hands. Had less severe muscle contractions to jaw. She has had similar reactions to compazine and to influenza vaccines.


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