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

This is VAERS ID 1438801



Case Details

VAERS ID: 1438801 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: California  
Vaccinated:2021-06-29
Onset:2021-06-29
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0217 / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Cardiac flutter, Chest discomfort, Dyspepsia, Dyspnoea, Eye pruritus, Fatigue, Headache, Heart rate increased, Hiccups, Lacrimation increased, Nausea, Pain in extremity
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific dysfunction (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Tachyarrhythmia terms, nonspecific (narrow), Lacrimal disorders (narrow), Tendinopathies and ligament disorders (broad), Dehydration (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: None
Allergies: None
Diagnostic Lab Data: NA
CDC Split Type:

Write-up: Nausea, headache, moderate arm pain, mild chest tightness, chest fluttering, increased heart rate, short of breath (mild), fatigue, itchy watery eyes, hiccups, indigestion.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1438801


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