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

This is VAERS ID 1764328

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Case Details

VAERS ID: 1764328 (history)  
Form: Version 2.0  
Age: 48.0  
Sex: Female  
Location: Oregon  
Vaccinated:2021-10-04
Onset:2021-10-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 3 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Extra dose administered, Fatigue, Pain, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Medication errors (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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: 2nd shot but it subsided in 6-8 hours.
Other Medications: buprenorphine for pain tylenol for pain
Current Illness: Fully disabled, so...EDS T3 ....Vascular spectrum disorder (aneurysm, clots, fistula in my spine) POTS, gastroparesis
Preexisting Conditions: all above
Allergies: tramadol, macrodantin
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Extreme body pain, aches fatigue and mild fever that have been lasting now 3 days. The second dose I had a worse reaction but it lasted about 6-8 hours and stopped. This one is continuing on. I am reporting so you have this as information. I am not seeking medical care yet...hopefully it subsides.


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