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

This is VAERS ID 1484024



Case Details

VAERS ID: 1484024 (history)  
Form: Version 2.0  
Age: 70.0  
Sex: Female  
Location: New York  
Vaccinated:2021-07-18
Onset:2021-07-18
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA7484 / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Dizziness, Dyspnoea, Feeling hot, Hypoaesthesia, Hypoaesthesia oral, Palpitations, Tremor
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Parkinson-like events (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (broad), Vestibular disorders (broad), Hypoglycaemia (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Patient takes blood pressure medication and took Ibuprofen 07/18/21.
Current Illness: No known illnesses.
Preexisting Conditions: Patient has history of hypertension.
Allergies: No known allergies.
Diagnostic Lab Data: Unknown.
CDC Split Type:

Write-up: After 15 minutes of observation after receiving the Pfizer vaccine, the patient complained of shortness of breath, palpitations, and feeling warm. Vital signs were initiated at 4:45PM: BP 162/78, RR 22, SpO2 98%, HR 77, Temp 98.1 F. 3 8oz bottles of water was offered and consumed. Client almost fainted, was shaky, and complained of numbness of left side of face and lips. Patient was placed on the floor in supine position. Vitals were reassessed at 4:52PM BP 160/94, RR 20, SpO2 98%, HR 80. EMS was called at 4:51PM and arrived around 5:10pm. Vitals were reassessed at 5:03PM: BP 162/88, RR 21, SpO2 99%, HR 74. When patient left the facility, she was alert, verbally responsive and in stable condition. Patient left the facility at 5:15PM and brought to the nearby hospital.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1484024


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