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

This is VAERS ID 1430420



Case Details

VAERS ID: 1430420 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Iowa  
Vaccinated:2021-05-25
Onset:2021-06-26
   Days after vaccination:32
Submitted: 0000-00-00
Entered: 2021-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0158 / 1 LA / IM
UNK: VACCINE NOT SPECIFIED (NO BRAND NAME) / UNKNOWN MANUFACTURER - / UNK - / -

Administered by: Private       Purchased by: ?
Symptoms: Chills, Dizziness, Feeling hot, Gait disturbance, Injection site pain, Nausea, Pain, Pain in extremity, Paraesthesia, Urticaria
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Angioedema (narrow), Peripheral neuropathy (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Hypersensitivity (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (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: 10mg Lisinopril Tabs - 1 daily 25mg Hydrochlorothiazide Tabs - 1 daily
Current Illness: Alleviated Blood Pressure
Preexisting Conditions: Stomach Bloating
Allergies: None
Diagnostic Lab Data: I have not sought medical attention at this time. If I am not feeling better soon I will seek medical attention first thing tomorrow morning, June 28, 2021.
CDC Split Type:

Write-up: I was given the Covid-19 vaccine on Friday, June 25th around 8:45 am. By noon my arm started to experience soreness. The site of the shot still was sore to the touch and with movement on Saturday, June June 26th. Saturday afternoon by 2:00 pm I started to feel nauseated. At about 3:30 pm after lunch, I started to fill over-heated and light-headed. I made my way to a couch and fell asleep. I remained there for a couple of hours. Once awoke, I had he chills but still over heated. My body was sore and I experienced some light headiness. I walked to my bedroom with a little difficulty at which time. I still felt overheated and throughout the night I was experiencing the chills and soreness at the injection site when I would turned to my left. I finally awoke on Sunday morning at 3:00 am with hives and prickly like feelings on my arms and legs. This continued until I took a cool shower to calm the prickly feeling on my skin.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1430420


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