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From the 11/19/2021 release of VAERS data:

This is VAERS ID 1767141

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Case Details

VAERS ID: 1767141 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-10-04
Onset:2021-10-05
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-10-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 301358A / 3 RA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chills, Fatigue, Headache, Hyperhidrosis, Impaired work ability, Injection site pain, Night sweats
SMQs:, Neuroleptic malignant syndrome (broad), Extravasation events (injections, infusions and implants) (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Valtrex Vitamin D vitamin C Women?s multivitamin
Current Illness: None
Preexisting Conditions: None
Allergies: Shellfish Adhesive medical tape
Diagnostic Lab Data:
CDC Split Type:

Write-up: 10/5/2021: chills, soreness injection site, headache, fatigue (12am) 6am: severe fatigue chills stayed home from work. Could not get out of bed until noon. Took 1g Tylenol did not help at 6am. Entire day chills fatigue 10-5-2021 10-6-2021: night sweats and day sweats but able to go to work and do daily activities 10-7-2021: 2am night sweat drenched


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