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This is VAERS ID 1736752

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/1/2021

VAERS ID: 1736752
VAERS Form:2
Age:63.0
Sex:Female
Location:California
Vaccinated:2021-06-01
Onset:2021-09-06
Submitted:0000-00-00
Entered:2021-09-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Private      Purchased by: ??
Symptoms: Back pain, Condition aggravated, Dyspnoea, Dysuria, Fall, Muscular weakness, Nausea, Urinary tract infection, Computerised tomogram abdomen, Computerised tomogram head, Laboratory test, Computerised tomogram spine, Magnetic resonance imaging spinal, Magnetic resonance imaging neck, Magnetic resonance imaging head

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days: 1     Extended hospital stay? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: unknown
Preexisting Conditions: DM, obesity, osteoarthritis, intermittent asthma, GERD
Allergies: depakote, codeine, erythromycin base, lamotrigine, pcn
Diagnostic Lab Data: MRI lumbar spine, MRI Cervical Spin, MRI brain, Chest frontal, CT abd/pelvis, labs, CT cervical Spine, CT Head.
CDC 'Split Type':

Write-up: Patient reports normal state of health yesterday however this morning when she woke up noted bilateral leg weakness leading to multiple fall at home. Reports chronic back pain but appears to have worsened today in the lumbar region. Reports some shortness of breath and nausea today. Also endorses dysuria, patient recently started on Bactrim for UTI currently on day 8 of 14 antibiotic.

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