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From the 10/8/2021 release of VAERS data:

This is VAERS ID 1647230



Case Details

VAERS ID: 1647230 (history)  
Form: Version 2.0  
Age: 23.0  
Sex: Female  
Location: California  
Vaccinated:2021-07-01
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-08-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Anxiety, Blood test, Cerebral haemorrhage, Delusion, Dyskinesia, Headache, Inflammation, Lyme disease, Muscular weakness, Nervous system disorder, Pain, Panic attack, Seizure, Suicidal ideation
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Suicide/self-injury (narrow), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (broad), Haemorrhagic central nervous system vascular conditions (narrow), Dementia (broad), Convulsions (narrow), Dyskinesia (narrow), Psychosis and psychotic disorders (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Generalised convulsive seizures following immunisation (narrow), Hypoglycaemia (broad)

Life Threatening? Yes
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: IVERMECTIN
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Babesia; Bartonella hensalae infection; Epstein-Barr viraemia; Lyme disease
Allergies:
Diagnostic Lab Data: Test Name: blood test; Result Unstructured Data: Test Result:unknown results
CDC Split Type: USPFIZER INC202101048704

Write-up: Patient had Lyme Disease, in remission, vaccine has caused relapse, far worse than years ago; perseverating obsessions with being killed or killing family and other, suicidal/euthanistic ideation and fixation; her brain was hemorrhaging and she was bleeding internally; seizure; Anxiety; panic attacks; stabbing pains in head; extreme pain; delusion; feeling like her legs don''t have energy; inflammation; nervous system deterioration; not in control of her limbs; This is a spontaneous report from a contactable consumer. A 23-year-old non-pregnant female patient ( reporter''s daughter) received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), 1st dose via an unspecified route of administration, administered in Arm Left in Jul2021 (Batch/Lot number and expiration date were not reported) at age of 23 years old as a single dose for covid-19 immunisation. The patient was not pregnancy at time of vaccination. Medical history included Lyme Disease, coinfections babesia, bartonella, Epstein-Barr. Concomitant medication included ivermectin. The patient previously took amoxycillin and experienced allergy. The patient had lyme disease, in remission, vaccine has caused relapse, far worse than years ago (Life threatening), perseverating obsessions with being killed or killing family and other, suicidal/euthanistic ideation and fixation (Life threatening), anxiety (Life threatening), panic attacks (Life threatening), stabbing pains in head (Life threatening), extreme pain, her brain was hemorrhaging and she was bleeding internally, delusion, feeling like her legs don''t have energy, inflammation, nervous system deterioration, not in control of her limbs, seizure, all on an unspecified date. The patient underwent lab tests and procedures which included blood test: unknown results on an unknown date. Therapeutic measures were taken as a result of all events. The outcome of the events ''Patient had Lyme Disease, in remission, vaccine has caused relapse, far worse than years ago, perseverating obsessions with being killed or killing family and other, suicidal/euthanistic ideation and fixation, Anxiety, panic attacks, stabbing pains in head, her brain was hemorrhaging and she was bleeding internally'' was not recovered, the rest events was unknown. All events were resulted in Doctor or other healthcare professional office/clinic visit, Emergency room/department or urgent care. All events were received treatment (IV). The patient had no COVID prior vaccination. The patient had not tested COVID post vaccination. Clinical course: Patient had Lyme Disease, in remission, vaccine has caused relapse, far worse than years ago, despite recommendation that Lyme patients receive vaccine. Anxiety, panic attacks, stabbing pains in head, perseverating obsessions with being killed or killing family and other, suicidal/euthanistic ideation and fixation. Any Prior vaccination (within 4 weeks): No. Now this was an Emergency and the patient was in extreme pain. Caller stated his daughter got her 1st Pfizer COVID vaccine and has Lyme disease that was in remission. States that this seemed to have triggered all her Lyme events and that she had adverse effects for 4 weeks now. States she had been to the ER a few times and he is seeking medical treatment that is quite expensive. Stated that no one knows what to do. Caller stated his daughter felt like she was going to have seizures sometimes. She had delusion that she was about to be stabbed by someone of that she is stabbing someone. States she had stabbing pains in her head. Caller stated his daughter went to the ER yesterday an she was convinced her brain was hemorrhaging and she was bleeding internally. Caller stated he is very concerned. Stated he would like help with the (dollar sign) 20,000- (dollar sign) 30,000 cost and the best case scenario is that price and she feels better. Caller stated he would like professional help and guidance. Prescribing Healthcare Professional Info: Caller does not have address or email to provide. Caller states she got the vaccine approximately 4 weeks ago this coming Wednesday and her symptoms started within 24 hours and he doesn''t know if they gradually worsened into this. Caller states one thing he would add is that recently she is feeling like her legs don''t have energy and is wondering if she has some nervous system deterioration and will end up in a wheelchair in the family of ALS. She is wondering if she will walk much longer, that if she walks very far her legs give out. Stated that she feels like a seizure might be coming on, that she had to pull over the other day and they had to go get her and called a patrol car. Caller states that she feels like she is not in control of her limbs. States he has not seen any involuntary movements and she has not reported any to him. Suspect Product: Caller states he does not have the NDC, lot or expiry to provide. Concomitant Medication: Caller states she has treatment for Lyme but it is not ongoing, she had IV treatment and that was within the 2 weeks. States there were many treatments at the clinic they were at in (Place). Medical History: Caller states she was diagnosed with Lyme Disease about 4 years ago and is also allergic to Amoxicillin. Investigations: Caller states she has had blood tests and has an appointment with a neurologist but they are backing off testing for encephalitis as she has no fever and the MRI and spinal tap are big steps. States they assume it is some sort of inflammation. All events require a visit to Emergency Room and Physician Office. States she saw her general practice and was referred to a general practice in Location. Stated she was in State and travels there on a medical tour and she has a practice. States his daughter has seen 3 general practice doctors. The lot number for BNT162b2 was not provided and will be requested during follow up.


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