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

This is VAERS ID 1486964



Case Details

VAERS ID: 1486964 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Louisiana  
Vaccinated:2021-07-08
Onset:2021-07-08
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0169 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chills, Erythema, Headache, Influenza like illness, Injection site pain, Paranasal sinus discomfort, Pyrexia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Hypersensitivity (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: Allegra, Singalar, Pramastaton, Lathortin, Flonase, Pepcid, Alprasalone, Mucinex, Hormone Patch-Estrodol
Current Illness: N/A
Preexisting Conditions: Seasonal Allergies
Allergies: Fish, Carrots, Oysters, grass/trees Outdoor/Indoor Allergies, Penicillin, Sulfa, Codeine, Narcotics
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Pt. states after receiving the 1st dose of the Phizer shot 07/08/2021, started experiencing severe headache (36hrs), added sinus pressure, chills *with Fever 101.2/99.8 (lasting 48hrs), flu-like symptoms, arm redness (Circle from the top of the shoulder to elbow), arm pain (injection site) continuing on/off. Physician communications 07/10/2021 recommended Urgent Care if worsening. Urging reporting. (March received infusion after contracting Covid-19)


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