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From the 11/19/2021 release of VAERS data:

This is VAERS ID 1736671

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Case Details

VAERS ID: 1736671 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-09-10
Onset:2021-09-10
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Asthenia, Balance disorder, Blood pressure abnormal, Chest pain, Dizziness, Dyspnoea, Fatigue, Feeling abnormal, Headache, Heart rate irregular, Hyperventilation, Immediate post-injection reaction, Impaired work ability, Nausea, Retching
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Asthma/bronchospasm (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Cardiac arrhythmia terms, nonspecific (narrow), Vestibular disorders (broad), Hypersensitivity (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Topamax, multivitamin, probiotic
Current Illness: TBI/post concussion syndrome, tinnitus
Preexisting Conditions: TBI/post concussion syndrome, tinnitus, asthma
Allergies: severe dust; pet dander, egg sensitivity, pollen/environmental
Diagnostic Lab Data: Monitored my vitals and used an alcohol wipe to wake me up, made sure I ate something before releasing me and walked me out of the hospital vaccine site. The did not want to send me to the ER but they did call a rapid code initially.
CDC Split Type:

Write-up: Immediately I started to feel lightheaded, dizzy, nauseated. I started dry heaving, hyperventilating, had a hard time breathing, felt like I couldn''t catch my breath, they tried to have me move to a different chair and when I stood up I almost collapsed. They needed to use an alcohol wipe under my nose to keep my from going unconscious. There were no vitals available, and they had to monitor me for an hour. Felt very fatigued the rest of the day, to the point where I was made to lay down at work and then sent home, and had severe headaches, slept for over 3 hours as soon as I got home. Shot was administered around 7:45 am, was monitored for an hour, was home by 12 pm from my shift, home by 12:30 and was asleep until almost 4-5 pm. Had chest pains the following few days vaccine. Have felt very weak and not myself ever since, constantly fatigued irregular hr and bp.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1736671


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