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

This is VAERS ID 1714936

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Case Details

VAERS ID: 1714936 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Male  
Location: Michigan  
Vaccinated:2021-09-11
Onset:2021-09-11
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 301358A / 1 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood pressure increased, Chest discomfort, Chest pain, Dizziness, Fatigue, Headache, Injection site pain, Pain, Pain in extremity
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hypertension (narrow), Cardiomyopathy (broad), Vestibular disorders (broad), Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Motrin and Allegra. Multivitamin
Current Illness:
Preexisting Conditions: Degenerative disc disease, neuropathy in legs.
Allergies:
Diagnostic Lab Data: None. Contacted 9/16 concerning side affects and was told these are common and if I was concerned that it was a more severe issue to come to urgent care/emergency. Since my side affects had reduced I did not go in due to concerns of contracting covid from the hospital.
CDC Split Type:

Write-up: 30 to 45 minutes after shot arm pain at site radiating to elbow, wrist and shoulder of left arm lasting 3 days. Followed by fatigue, headache and tightness of chest starting on the 12th. Fatigue, headache and tightness of chest worst on the 15th accompanied by dizziness and chest pain BP elevated 10 point over normal to 140/90s, pulse and O2 fine. Side affects lessened on the 16th to tightness in chest and reduced headache and subsided by the 17th.


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