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

This is VAERS ID 1431486



Case Details

VAERS ID: 1431486 (history)  
Form: Version 2.0  
Age: 49.0  
Sex: Female  
Location: California  
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 EW0181 / 1 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Condition aggravated, Mania, Tachyphrenia
SMQs:, Psychosis and psychotic disorders (broad), Hostility/aggression (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: MOTRIN 800MG PRIOR TO INJECTION, MELATONIN 5MG AT BEDTIME
Current Illness: NONE
Preexisting Conditions: NONE
Allergies: NONE
Diagnostic Lab Data: NONE
CDC Split Type:

Write-up: PT STATES THAT SHE HAS BEEN IN A STATE OF MANIA OR MANIC SINCE JUST AFTER HER LAST SHOT. SHE SUFFERED FROM MANIA ABOUT 20 YEARS AGO BUT HAS NOT NEEDED ANY MEDICAL GUIDENCE FOR SEVERAL YEARS. CHIEF COMPLAINT IS MANIA AND RACING THOUGHTS. RECOMENDED THAT PT BE SEEN THROUGH HER PRIMARY MD BUT SHE DOESN''T HAVE ONE. INCOURAGED HER TO SEEK MEDICAL ATTENTION FOR EVALUATION.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1431486


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