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

This is VAERS ID 1704073

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Case Details

VAERS ID: 1704073 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: Texas  
Vaccinated:2021-09-01
Onset:2021-09-12
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-09-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 301308A / UNK LA / -

Administered by: Private       Purchased by: ?
Symptoms: Dizziness, Headache, Hyperhidrosis, Retching
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Vestibular disorders (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Zinc vitamin c NAC Paroxatine Metropolol Asprin Vitamin D3
Current Illness: None
Preexisting Conditions: RA, heart
Allergies: Codine. Lortab Gabapentin
Diagnostic Lab Data: None
CDC Split Type:

Write-up: 09/13/2021, @ 07:00 pm I was sitting and started sweating profusely then was very dizzy and started to dry heave. This lasted for 3 hours. Severe Covid headache for 3 days after vaccine.


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