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From the 9/17/2021 release of VAERS data:

This is VAERS ID 1454409

Case Details

VAERS ID: 1454409 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Illinois  
   Days after vaccination:24
Submitted: 0000-00-00
Entered: 2021-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, Breast pain, Dizziness, Dyspnoea, Electrocardiogram, Fatigue, Feeling abnormal, Nausea, Oropharyngeal pain, Pain in extremity, Palpitations, Pyrexia, Temperature intolerance, Thinking abnormal
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (narrow), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Psychosis and psychotic disorders (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Lipodystrophy (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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: Klonopin 0.5 - 2 x a day
Current Illness:
Preexisting Conditions: Low ferritin, fatigue
Allergies: Gluten, MSG, quinoa
Diagnostic Lab Data: EKG, vitals Tues June 29 2021
CDC Split Type:

Write-up: Barely felt anything for 48 hours other than a slightly sore arm. As Sunday progressed, I became weak, lightheaded, very nauseous, extremely fatigued and had heart palps, shortness of breath with walking, a very sore breast (opposite side of shot) and a fever of 99.5. Day 4 was less intense but all the symptoms remained minus the fever. On Day 5 I went to urgent care... Sore throat, weakness, lightheaded, unable to think, tired to the core, heart palps, racing heart with little exersion, and sore breasts. Day 6 onward still feeling off. A LOT of brain fog and fatigue. Shortness of breath when doing light movement like walking. VERy sensitive to heat.

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