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

This is VAERS ID 1765176

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Case Details

VAERS ID: 1765176 (history)  
Form: Version 2.0  
Age: 77.0  
Sex: Female  
Location: California  
Vaccinated:2021-09-27
Onset:2021-09-30
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-10-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FF8889 / 3 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain, Asthenia, Burning sensation, Chills, Headache, Muscle spasms, Pain in extremity, Pyrexia
SMQs:, Acute pancreatitis (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Retroperitoneal fibrosis (broad), Dystonia (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), 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: Yes
Current Illness:
Preexisting Conditions: pulmonary sarcoidosis, fibromyalgia, diabetes II
Allergies: sulfa, garlic,
Diagnostic Lab Data: No
CDC Split Type: vsafe

Write-up: I am having bilateral muscle spasm down my lower leg. I am having my spasms and muscle locking at my ankles. At night I am having upper and lower leg spasms. I also have burning pain near my L5 and S1. I also have bilateral weakness. I have felt feverish but with no fever. I had chills at times, not severe. I wake up in the morning and my legs are burning with pain. I had intermittent on and off headaches which I did not have prior to the vaccine. This pain kicked up again after the booster shot. With each shot, symptoms got worse about 3 days after. I also experienced abdominal pain. I have been referred to a pain clinic by my doctor.


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