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

This is VAERS ID 1752865

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Case Details

VAERS ID: 1752865 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Male  
Location: Tennessee  
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Pharmacy       Purchased by: ?
Symptoms: Asthenia, Chest pain, Dyspnoea, Eye pain, Fatigue, Injection site nodule, Malaise, Pain, Pain in extremity, Pyrexia, Rhinorrhoea, Wheezing
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Asthma/bronchospasm (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Guillain-Barre syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Glaucoma (broad), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Have not taken any
Current Illness: None
Preexisting Conditions: Back injury palliative care Covid 19 recovery ( February 2021 thru May 2021 out of work) ; still in active , treated recovery
Allergies: None
Diagnostic Lab Data: Too sick to seek treatment yet , reported to primary physician and pharmacy where shots received Had similar reaction on 1st dose which took 5 days to resolve 2nd dose problems materialized more quickly with symptoms being greater in intensity
CDC Split Type:

Write-up: Sudden onset right arm pain, runny nose, knot at injection site, body aches, fever, shortness of breath, wheezing , sore eyes / eye pain; weakness, extreme fatigue , chest pain

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