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

This is VAERS ID 1745591

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Case Details

VAERS ID: 1745591 (history)  
Form: Version 2.0  
Age: 66.0  
Sex: Female  
Location: California  
Vaccinated:2021-09-29
Onset:2021-09-29
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 30135BA / 3 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Blood pressure increased, Erythema, Feeling hot, Limb discomfort, Tremor
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Parkinson-like events (broad), Noninfectious encephalopathy/delirium (broad), Hypertension (narrow), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: HNT, DM
Allergies:
Diagnostic Lab Data: unknown
CDC Split Type:

Write-up: Pt c/o anxiouse to needle, 10minute after vaccinated c/o heavyness/shakyness of feet & feeling hot face. Minium assisted by staff to stretcher, monitored v/s were normal limit exsept SBP inceased to 234 to 182, DBP 60 TO 80''s. Tx-benadryl 225mg 1 cap, cold compress on face, offered emotional supports. out come- no more s.sx of above symptoms. Pt''s conditon improved reduced redness on face & no heavy and shaky to feet. D/C''d with daughter, recommended to further exam by PCP or urgent care.


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