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

This is VAERS ID 1464186



Case Details

VAERS ID: 1464186 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Male  
Location: Oklahoma  
Vaccinated:2021-02-10
Onset:2021-07-01
   Days after vaccination:141
Submitted: 0000-00-00
Entered: 2021-07-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL1284 / 1 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN5318 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Ageusia, Anosmia, COVID-19, Cough, Decreased appetite, Dyspnoea, Nasal congestion, Pain, Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Kenalog (local), Amlodipine, Wixela, Albuterol, Gabapentin, Meloxicam, Spiriva, Duloxetine
Current Illness: None
Preexisting Conditions: ADHD, Osteoarthritis, HTN, Allergic Rhinitis, moderate depression, neuropathy, COPD, bilateral hearing loss, bilateral knee pain
Allergies: Animal hair, Trees
Diagnostic Lab Data: 07/01/21: Positive SARS-COV-2-RNA
CDC Split Type:

Write-up: 07/01/21: cough, fever, runny nose, nasal congestion, shortness of breath, body aches, loss of taste and smell, loss of appetite


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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1464186


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