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

This is VAERS ID 1467293



Case Details

VAERS ID: 1467293 (history)  
Form: Version 2.0  
Age: 64.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-07-02
Onset:2021-07-02
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EY0584 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain upper, Headache, Nausea, Neck pain, Pain in extremity, Rash, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Arthritis (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: I am currently taking Levothyroxine; Potassium Chloride; Keflex; Torsemide; LINZESS; estradiol; Floranex; Gabapentin; Metformin; Sumatriptan; Rosuvastatin; Escitalopram; Omeprazole; Aspirin; Spironolactone; Vitamin B-12; Vitamin B-3; Ondans
Current Illness: I had a sinus infection.
Preexisting Conditions: Multiple Sclerosis; Sjogren''s Disease
Allergies: I am allergic to Prednisone.
Diagnostic Lab Data: Not Applicable
CDC Split Type: vsafe

Write-up: I experienced extreme headaches, neck and arm pain, nausea with pain in my stomach along with development of a rash. The headaches and nausea progressively became worst. I almost went to the walk-in-clinic but chose not to go. If I were not able to control the vomiting or had diarrhea, I would have gone to the ER. The symptoms resided on their own after a few days. I have an appointment to see my doctor on Friday to ensure that the symptoms are gone since I still have bouts of stomach cramping.


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