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This is VAERS ID 1764771

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/8/2021

VAERS ID: 1764771
VAERS Form:2
Age:28.0
Sex:Female
Location:Indiana
Vaccinated:2021-09-29
Onset:2021-09-30
Submitted:0000-00-00
Entered:2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Private      Purchased by: ??
Symptoms: Headache, Migraine, Neck pain, Photophobia, Visual impairment

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Novolog flex fen Tylenol Imitrex
Current Illness: none
Preexisting Conditions: Migraines Diabetes
Allergies: Sulfa
Diagnostic Lab Data: Sent to ER for further Evaluation
CDC 'Split Type':

Write-up: Patient reports having the worse headache of her life started within 24 hrs after getting covid vaccine Pfzier last week Weds. She states is getting worse. Calls it a "migraine" states her "migraines are usually behind her eyes. This is different. This is in her temples and posterior neck and head. Notes visual changes/Photosensitive. Tylenol and imitrex are not working like her usual migraine medication. Denies fever, chills, nausea, vomiting, diarrhea, cough, shortness of breath. Blood sugars are "normal". Wearing glasses. Last eye exam is up to date.

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