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

This is VAERS ID 1768066

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Case Details

VAERS ID: 1768066 (history)  
Form: Version 2.0  
Age: 54.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-10-05
Onset:2021-10-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-10-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 30155BA / 3 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Chest X-ray normal, Electrocardiogram normal, Fatigue, Feeling hot, Hyperhidrosis, Illness, Laboratory test normal, Pallor
SMQs:, Neuroleptic malignant syndrome (broad), Hypotonic-hyporesponsive episode (broad), Hypoglycaemia (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: Lisinopril; Toprol; Phabrix; Protonix; Eliquis; Lipitor; Vitamin C; Vitamin D-3
Current Illness:
Preexisting Conditions: Cad
Allergies: Tetracycline
Diagnostic Lab Data: Ekg- negative, Routine lab work- normal. chest x-ray- normal.
CDC Split Type: vsafe

Write-up: After receiving my 3rd dose I felt very tired and all of a sudden I felt very hot. I started to sweat to the point people noticing. I looked very pale and sick. I went to the hospital to the emergency room and after 45 minutes the symptoms started to go away gradually. I received an ekg which came back negative, cardiac components- negative, routine lab work, a chest x-ray and everything came back normal.


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