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From the 9/17/2021 release of VAERS data:

This is VAERS ID 1427874



Case Details

VAERS ID: 1427874 (history)  
Form: Version 2.0  
Age: 63.0  
Sex: Female  
Location: New York  
Vaccinated:2021-06-18
Onset:2021-06-21
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-06-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0217 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Decreased appetite, Dizziness, Dyspnoea, Heart rate increased, Pain in extremity, Palpitations
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: Being treated for anemia due to low iron in blood, which results in shortness of breath at times and palpitations.
Preexisting Conditions: Have had palpitations on and off throughout my lifetime. Was diagnosed with Hodgkin''s disease in March 1997 due to a mediastinal mass found after the birth my one and only son. Have been in remission since 1998 with no reoccurrence. The chemo and radiation did damage both my thyroid and heart septum. Lower lobe of left lung has scar tissue as a result of pleural fluid collecting there prior to the discovery of Hodgkin''s Lymphoma. Presently am hypothyroid as a result of the treatment and palpitations have occurred more often as I passed the time of the cancer diagnosis.
Allergies: Penicillin and all its derivatives
Diagnostic Lab Data: I plan on making arrangements to see a cardiologist, after the 3 weeks of antibody production so the tests are not skewed. I am wondering if I should keep the appointment for a second vaccine.
CDC Split Type:

Write-up: Woke up Monday, June 21 feeling fine, just a sore arm, and decided to do some mild exercise. After bending at the waist for the fourth time, my heart started racing and I felt like I would faint. The palpitations began at 10:40 AM and continued for 12 hours into the evening. My normal approaches to bring them under control - bearing down, rest, homeopathic remedies and metoprolol - did nothing. Heart rate was as high as 200+ and slowing dropped to 190 for several hours, 180 for several hours, 174 for awhile and after taking the homeopathic remedy thyroidinum it finally dropped to 94 and has gone back to normal. Basically, I spent Monday day lying on my left side waiting for it to stop, trying to belly breathe slowly. I had no appetite, felt faint each time I sat up. Once the palpitations stopped, I have experienced shortness of breath whenever I go upstairs each day this week. However, as I get further away from the vaccination day, the breathlessness is lessening.


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