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

This is VAERS ID 1475425



Case Details

VAERS ID: 1475425 (history)  
Form: Version 2.0  
Age: 46.0  
Sex: Female  
Location: Utah  
Vaccinated:2021-06-16
Onset:2021-07-15
   Days after vaccination:29
Submitted: 0000-00-00
Entered: 2021-07-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0202 / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Fatigue, Feeling cold, Injection site pain, Pain
SMQs:, Extravasation events (injections, infusions and implants) (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Sore arm after previous Covid vaccine as well as most others. Digestive system issues (diarrhea and feeling off after Td about 3
Other Medications:
Current Illness: None
Preexisting Conditions: Sciatica
Allergies: None
Diagnostic Lab Data:
CDC Split Type:

Write-up: I woke up with my arm feeling very sore in the muscle where the shot was given. I took Ibuprofen later in the morning, which helped a little, but I could tell when it was wearing off that afternoon because I started to feel achy all over by about 4pm, so I took another dose of Ibuprofen. That helped me feel better, but I got tired sooner than usual. I settled into bed by 10pm and felt cold and shivery. I took more Ibuprofen and was able to sleep. The next morning I felt much better, like I do after I get over a fever. I did normal activities, but by the afternoon I felt exhausted like I''d done too much, so I took a nap. I felt okay by the next day.


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