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

This is VAERS ID 1405898



Case Details

VAERS ID: 1405898 (history)  
Form: Version 2.0  
Age: 79.0  
Sex: Female  
Location: California  
Vaccinated:2021-06-03
Onset:2021-06-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0153 / 1 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Arthralgia, Headache, Pain in extremity
SMQs:, Arthritis (broad), Tendinopathies and ligament 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? No
Hospitalized? No
Previous Vaccinations:
Other Medications: PRADAXA
Current Illness: Dietary control
Preexisting Conditions: Medical History/Concurrent Conditions: Anesthesia; Anxiety; Arthritis (arthritis in both of her knees which is kind of hereditary); Arthritis; Cataract (right); Cataract operation; Death of sister; Fall; Family history of diabetes (diabetes runs in her family, several cousins, uncles, and aunts); Gastrointestinal disorder; Glaucoma; Illness; Physical therapy; Postoperative infection; Rheumatoid arthritis (dad had rheumatoid arthritis)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021665216

Write-up: headache; some soreness in her arm and it kind of went up to her shoulder; little bit of soreness in her arm; This is a spontaneous report from a contactable consumer (patient). A 79-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, Batch/Lot Number: EW0153) via an unspecified route of administration, administered in left arm on 03Jun2021 13:00 (at the age of 79-years-old) as 1ST DOSE, SINGLE DOSE for covid-19 immunization. Medical history included her first cataract surgery on her right eye, and they found out she had glaucoma. She got a slight infection which is unusual after cataract surgery. She weighs around 188. She is trying to be healthier in general. She had so much going on in 2020, like everybody else. Her sister was really ill and she passed away She and her daughter were planning to fly in August and wanted to be fully vaccinated before they fly. She had been through this before as a child when she had the polio vaccine and there are people she knows got polio who are still affect by it as adults. She is also on blood thinners. She got good reports from her eye doctor. She had no eye pressure. A couple days later she saw her primary doctor and everything was good there. She sees her cardiologist on 17Jun2021. The main thing is she had been on blood thinners since Apr2017. She hopes she doesn''t have to be on them for the rest of her life, but it''s a possibility. She has to take that twice a day. She also takes a high blood pressure medicine and thyroid medication. She was told to tell the nurse to use a smaller needle. She has arthritis in both of her knees which is kind of hereditary. She had a fall after the campfire. They evacuated, and when they came back and fell in a store. She is getting physical therapy. The Pradaxa is quite expensive. She takes it twice a day. She keeps a log. This medication can''t have air reach it, so she can''t use a pill box with that. She keeps a journal and logs her medicines. She takes eye drops for her glaucoma. She takes a drop in both eyes before bedtime. It gives it a chance to rest and for the drops to absorb. She stated that diabetes runs in her family. On 20Mar2021 she had her first cataract surgery, so they gave her anesthesia for that. Glaucoma, cataract, arthritis, fall. Concomitant medication(s) included dabigatran etexilate mesilate (PRADAXA) taken for anticoagulant therapy from Apr2017 and ongoing, unspecified high blood pressure medication, thyroid medication and eye drops for glaucoma in both eyes before bedtime which would give a chance to rest and for the drops to absorb. Historical vaccination included polio vaccine. On 03Jun2021, It started that day she had the vaccine. Her vaccine was at 13:00. It was 104 that day so she stayed hydrated and drank a lot of water. She came home and had a little soreness. She was surprised she didn''t have any big noticeable difference. With her arm soreness she was surprised it hurt in her shoulder. If she touches the site she can feel that, but she was okay and was well. On 04Jun2021 she had a headache the next day, and she did take Tylenol. She tried to prolong taking the Tylenol because she heard not to take Tylenol before the vaccine or too soon afterwards to give the vaccine a chance to do its thing. She went ahead and took Tylenol and it worked. It kicked in, and her headache went away the same day. She heard from other people that is was a classic symptom. Her symptoms weren''t something she had to stay in bed for. She had a little anxiety before she had the vaccine. She read up as much as she could and decided on Pfizer because she had spoken with other people who had Pfizer. She will continue to wear a mask, she is really good at that. Outcome of the event headache was recovered on 04Jun2021. Outcome of other events it was recovering. Information on Lot/Batch number was available. Additional information has been requested.


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