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From the 9/3/2021 release of VAERS data:

This is VAERS ID 1453762

Case Details

VAERS ID: 1453762 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Male  
Location: Texas  
Submitted: 0000-00-00
Entered: 2021-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain upper, Ageusia, Chills, Cold-stimulus headache, Discomfort, Hypoaesthesia, Limb discomfort, Musculoskeletal chest pain, Near death experience, Pain, Pyrexia, Shock
SMQs:, Anaphylactic reaction (narrow), Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Shock-associated circulatory or cardiac conditions (excl torsade de pointes) (narrow), Hypovolaemic shock conditions (narrow), Toxic-septic shock conditions (narrow), Anaphylactic/anaphylactoid shock conditions (narrow), Hypoglycaemic and neurogenic shock conditions (narrow), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypotonic-hyporesponsive episode (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Sexual dysfunction (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: HYDROCODONE
Current Illness: Marijuana use
Preexisting Conditions:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021758058

Write-up: uncomfortable; Extreme pain; Couldn''t taste cheetos; Pulp in his arm; Worst fever he can imagine; Chills all over; Brain stating out/ his brain goes fuzzy; gutting his stomach; ribs were sore; Almost died; He thought his body went into shock; Numbness; This is a spontaneous report received from a contactable consumer or other non hcp. A 31-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Batch/lot number: EW0178) via an unspecified route of administration in Arm Right on 19Jun2021 15:00 as single dose for covid-19 immunisation. Medical history included ongoing substance use. Concomitant medication(s) included hydrocodone and unspecified antibiotics taken for an unspecified indication, start and stop date were not reported. The patient received first dose of BNT162B2 (Batch/lot number: EN5318) via an unspecified route of administration in Arm Right on 20May2021 as single dose for covid-19 immunisation. The patient experienced worst fever he can imagine, pulp in his arm, chills all over on 19Jun2021, extreme pain on 20Jun2021, couldn''t taste cheetos on 22Jun2021, numbness, he thought his body went into shock, almost died, brain stating out/ his brain goes fuzzy, gutting his stomach, ribs were sore on Jun2021. Caller reported as he got the second Covid Vaccine in his arm. He literally almost died. He went to (withheld), and they said it is normal and he should take some Tylenol. If he can die it is not normal. The hospital didn''t want to do anything because they were afraid people would use him as a scapegoat and say if he is incapacitated, they will never take it. He had a bad dose or just had a severe adverse reaction. He had his vaccination card on him. It didn''t happen until he had his second dose. He had been shot in the face with a 357 Magnum at point blank range, and this is more painful than that. It is legit more painful. He has never felt worse pain in his entire life. His card says Pfizer Vaccine EW0178. Maybe he got a bad dose. Right now, he has to be careful to not sit in one position because he was very uncomfortable. Further reporter stated briefly extreme pain: They gave him the shot and he went to sleep, and his body was immediately super tender and painful. He thought his body went into shock. He was shot in the face by a 357 Magnum so he knows the feeling. It started at 0000. In the morning he woke up and tried to eat food and couldn''t taste Cheetos. He tried to go to the bathroom and peed on his leg twice, he was that kind of numb. The real pain came from trying to just exist. He was so tender that breathing was an obstacle and touching a pillow against his skin felt like getting hit by a bus for the next couple days. He still doesn''t feel all that great. He needs antibiotics and a painkiller. He was smoking marijuana because everyone left him in the cold. Pulp in his arm: He could feel like a pulp in his arm where it was worse. It felt like a bullet was put into his arm. It was all pulpy and feels nasty. It was dispersants of coagulation and blood or the medicine and blood or something else. Either way it is gross. He put his hand against it and massaged it and it hurt like hell. The pain subsided. It was like he has PTSD. He had to get that out of his arm. When he gets the pulpy stuff out of his arm the dispersing pain was less and less, but it was still super painful. That was how he woke up initially. It was there only slightly now. Brain stat icing out: He also keeps having his brain static-ing out which was not a good thing. His brain goes fuzzy. He has had no medical tests. The clinical outcome of the events Numbness, worst fever he can imagine, pulp in his arm, brain stating out/ his brain goes fuzzy was recovering and other were not recovered. Information on Lot/Batch number was available. Additional information has been requested.

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