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

This is VAERS ID 1492075



Case Details

VAERS ID: 1492075 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-07-17
Onset:2021-07-18
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Headache, Injection site pain, Injection site pruritus, Injection site reaction, Injection site swelling, Injection site warmth, Lethargy, Pain, Pyrexia, Skin reaction
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Extravasation events (injections, infusions and implants) (broad), Haemodynamic oedema, effusions and fluid overload (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (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: MMR booster at age 25, pain and swelling for several daya
Other Medications: Generic Nexium, Wellbutrin, Lexapro
Current Illness: N/a
Preexisting Conditions: Obesity, depression
Allergies: Possible tree nuts
Diagnostic Lab Data: N/a
CDC Split Type:

Write-up: Chills, fever of 102, lethargy, headache, body pain, subsequent ?COVID arm? at injection site 1-3 days later with itching, soreness, swelling, heat.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1492075


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