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

This is VAERS ID 1470756



Case Details

VAERS ID: 1470756 (history)  
Form: Version 2.0  
Age: 36.0  
Sex: Female  
Location: Utah  
Vaccinated:2021-06-25
Onset:2021-07-01
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0196 / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Arthralgia, Chest pain, Dizziness, Dyspnoea, Fatigue, Heart rate increased, Hypertension, Muscle tightness, Nausea, Presyncope
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dystonia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Hypotonic-hyporesponsive episode (broad), Arthritis (broad), Hypoglycaemia (broad), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Klonopin
Current Illness: None
Preexisting Conditions: None
Allergies: Amoxicillin, omnicef, sulfa based antibiotics
Diagnostic Lab Data:
CDC Split Type:

Write-up: Rapid heart rate, chest pain, shortness of breath, fatigue, high blood pressure, tight muscles, dizziness, feeling like passing out, nausea, joint pain


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1470756


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