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

This is VAERS ID 1446164



Case Details

VAERS ID: 1446164 (history)  
Form: Version 2.0  
Age: 72.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-02-25
Onset:2021-06-29
   Days after vaccination:124
Submitted: 0000-00-00
Entered: 2021-07-03
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6202 / 1 - / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER2613 / 2 - / IM

Administered by: Private       Purchased by: ?
Symptoms: Ageusia, Anosmia, COVID-19, Chills, Cough, Illness, Nasopharyngitis, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), Immune-mediated/autoimmune disorders (broad), COVID-19 (narrow)

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: Losartan, Hydrochlorothiazide, Atorvastatin
Current Illness: None
Preexisting Conditions: High blood pressure
Allergies: None
Diagnostic Lab Data: 7/2/21 COVID 19 - ID NOW
CDC Split Type:

Write-up: Husband got sick on 6/23 /21 (we thought with a head cold). I got sick on 6/29 with the same symptoms, fever, chills, cough, runny nose. On 7/1 I lost my sense of taste and smell. We both went to get tested for COVID on 7/2 and both tested positive. No fever on the day of testing and symptoms were mild. Much like a head cold.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1446164


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