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From the 11/26/2021 release of VAERS data:

This is VAERS ID 1689489

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Case Details

VAERS ID: 1689489 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: California  
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-09-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private       Purchased by: ?
Symptoms: Aphasia, Blood test, Chest X-ray, Computerised tomogram head, Headache, Hypoaesthesia, Hypoaesthesia oral, Paraesthesia, Paraesthesia oral
SMQs:, Peripheral neuropathy (broad), Dementia (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: N/A
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Penicillin
Diagnostic Lab Data: CT scan, blood work, chest X-ray (these were all taken 2 days after the incident) since I was scared the day of and just wanted to go home.
CDC Split Type:

Write-up: On Saturday, September 4, 2021, at 3:00pm, I left work and went outside to my car. I noticed that everything seemed really bright. Almost whitewashed. Enough that I felt uncomfortable driving. Then about 10 minutes later, I started feeling a tingling sensation on my right palm. The tingling crept up my fingers and into my finger tips. After a minute or so, my finger tips on my right hand went completely numb. Then I noticed the same tingling feeling start on my lower lip and quickly, it too went numb. I called 911 knowing that something wasn''t right. It was then that I lost all ability to say the words my brain was trying to say. Random words were coming out and then I starting forgetting worlds altogether. Easy things like what I had eaten for lunch or where I was parked was impossible for me to answer. I just couldn''t remember the names. By the time the paramedics came to me, the tingling was gone and my brain to mouth connection was back but my memory was still really bad. That is when I started getting a headache. The headache lasts for about 4 hours or so.

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