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

This is VAERS ID 1484615

Case Details

VAERS ID: 1484615 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: North Carolina  
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Pharmacy       Purchased by: ?
Symptoms: Pain in extremity, Paraesthesia
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Tendinopathies and ligament disorders (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: Spironolactone, Lasix and Cardivodol
Current Illness: Congestive Heart Failure, Bilateral Knee Pain, Allergies and Hypertension
Preexisting Conditions: Congestive Heart Failure, Bilateral Knee Pain, Allergies and Hypertension
Allergies: Amoxicillin, Penicillian, Nuts, List
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pain in both legs and feet. Tingling pain in hand and tips of fingers

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