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

This is VAERS ID 1430481



Case Details

VAERS ID: 1430481 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Male  
Location: Washington  
Vaccinated:2021-06-21
Onset:2021-06-21
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0187 / 1 RA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Asthenia, Fatigue, Headache, Hypersomnia, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Depression (excl suicide and self injury) (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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: None
Current Illness: None
Preexisting Conditions: Long-standing symptoms due to COVID last year including: -Coughing -Shortness of breath -Fatigue
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: Persistent headache (started a few hours after receiving vaccine and has been present off/on throughout the week) Fever (started morning after receiving vaccine, peaked at 103 degrees F, lasted 2 days) Fatigue (started morning after receiving vaccine, sleeping 14-16 hours a day with minimal energy during waking hours)


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