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This is VAERS ID 1693135

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First Appeared on 9/17/2021

VAERS ID: 1693135
VAERS Form:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Pharmacy      Purchased by: ??
Symptoms: Feeling abnormal, Headache, Heart rate irregular, Memory impairment, Palpitations

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Prenatal vitamin, Vitamin B-12, Vitamin D-3
Current Illness: none
Preexisting Conditions: nodules in lungs (cause never determined, possibly histoplasmosis). The nodules have been stable for several years.
Allergies: acetaminophen, pseudoephedrine, gabapentin, oseltamivir, artificial colorings, artificial preservatives
Diagnostic Lab Data: I will make an appointment with my doctor as soon as possible.
CDC 'Split Type': 03461

Write-up: Shortly after receiving the injection, I had a headache. Then pain in my right arm. The headache subsided in a few hours and the pain in my arm got progressively worse over the first 24 hours and then began to subside. I began to experience memory lapses after 24 hours and made many mistakes that are unusual for me. I would describe it as severe brain fog. All of that I assumed was normal. However, this afternoon (about 55 hours after injection), I had heart palpitations that were quite alarming. The initial incident lasted for a few moments (less than 5 minutes). First I felt that my heart rate was accelerated for no reason. Then it got very strong and pounded erratically. Then it got weaker but remained erratic. It alternated between these states and then returned to normal. Less than an hour later (while filling out this form), my heart became erratic again, but this time only for 10-15 seconds. It is currently back to normal, though I feel a bit funny.

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