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

This is VAERS ID 1433247



Case Details

VAERS ID: 1433247 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Male  
Location: Mississippi  
Vaccinated:2021-03-03
Onset:2021-06-21
   Days after vaccination:110
Submitted: 0000-00-00
Entered: 2021-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Chills, Pyrexia, Tremor, Urinary tract infection
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (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? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: humira; mobic
Current Illness:
Preexisting Conditions: RA
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: chills and uncontrollable shakes, no fever initially; within a few hours temp was 101.6; cultures and labs showed urinary tract infection; sensitivities showed resistant to rocephin and ceftin; bactrim didn''t prove strong enough; improvement finally began with levaquin; fever persisted 8 days; ibuprofen was required around the clock


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