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

This is VAERS ID 1433764



Case Details

VAERS ID: 1433764 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Male  
Location: California  
Vaccinated:2021-04-09
Onset:2021-06-21
   Days after vaccination:73
Submitted: 0000-00-00
Entered: 2021-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6207 / 2 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0162 / 2 AR / IM

Administered by: Other       Purchased by: ?
Symptoms: Ageusia, Anosmia, Fatigue, Pain, Pyrexia, SARS-CoV-2 test, Sinus congestion, Sinus headache, Sinus pain
SMQs:, Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Immune-mediated/autoimmune disorders (broad), COVID-19 (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: Biktarvy, creatine, BCAAs, betaine, Omega-3 fatty acids, beta-alanine, whey protein, casein protein, egg protein.
Current Illness: none
Preexisting Conditions: HIV +
Allergies: none
Diagnostic Lab Data: antigen test and PCR test both on 06/24/2021
CDC Split Type:

Write-up: fever (101-101.6), body aches, fatigue, loss of taste and smell, extreme sinus congestion w extreme sinus headaches, sinus area sensitivity


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1433764


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