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

This is VAERS ID 1758706

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Case Details

VAERS ID: 1758706 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Pennsylvania  
Vaccinated:2021-09-30
Onset:2021-09-30
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 3 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood pressure increased, Chest X-ray normal, Chest discomfort, Chest pain, Dyspnoea, Electrocardiogram normal, Heart rate increased, Immediate post-injection reaction, Troponin T normal, Urine analysis normal, Wheezing
SMQs:, Anaphylactic reaction (broad), Angioedema (broad), Asthma/bronchospasm (broad), Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Hypertension (narrow), Cardiomyopathy (broad), Eosinophilic pneumonia (broad), Hypersensitivity (narrow), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Dupixent, Dulera, Spiriva, Singulair, Levothyroxine, Myrbectriq, Celebrex, Seroquel, Ativan, Risperdal, Tegretol ER, Lamictal, Zonegran, Melatonin, B12 supplement.
Current Illness: None
Preexisting Conditions: Asthma, allergies, fibromyalgia, Bipolar I, hypothyroidism, overactive bladder, migraine headaches, chronic fatigue, anemia, chronic pain.
Allergies: Mobic, Xolair, Thiothixene, Amoxicillin, Tylenol 3, seasonal allergies, dust, pollen, mold, some chemicals used in beauty products and perfumes, and some metals.
Diagnostic Lab Data: The medical tests included a chest x-ray, EKG, troponin T test, urine test, listening to my heart and checking my blood pressure. Fortunately all the results came back negative except my blood pressure was elevated and my pulse was elevated. All of the test to place the same day that I received my vaccine and this happened within a few hours of receiving the vaccine.
CDC Split Type:

Write-up: I had chest pressure, chest pain, shortness of breath and wheezing immediately following the third vaccine. I brought my symptoms to the vaccine clinics attention and they ignored my symptoms. It was necessary for me to go to the emergency room, because of how I reacted to the third vaccine. My symptoms of chest pressure, chest tightness, wheezing, shortness of breath started within a few minutes of receiving the third vaccine. Because the vaccine site staff did not take my symptoms seriously, I waited around to see if they would improve, which they did not they worsened. At that point, an hour later when I was unable to breathe without much difficulty, I brought myself to the emergency room. At the emergency room, I was not given much medication until many tests were ran. The tests included a chest x-ray, a blood test called troponin T, an EKG, a urine test as well as listening to my heart and measuring my blood pressure and measuring my pulse. Fortunately all tests came back normal, except my pulse was elevated and my blood pressure was elevated. I was given two inhalers Atrovent and Ventolin, after which my breathing improved and my chest pain improved. I was sent home the same evening as when I received the vaccine and I left the hospital about 9 PM.


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