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

This is VAERS ID 1775221

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Case Details

VAERS ID: 1775221 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-09-30
Onset:2021-10-01
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-10-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH 30145BA / 1 RA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Blood pressure increased, Conjunctival haemorrhage, Fatigue, Influenza like illness, Panic attack
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Hypertension (narrow), Conjunctival disorders (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: N/a
Current Illness: N/a
Preexisting Conditions: N/a
Allergies: Penecillian
Diagnostic Lab Data: Eye visit and medical doctor visit on Saturday 10/02/2021 and again 10/04/2021
CDC Split Type:

Write-up: I got the normal flu like symptoms became very fatigue and woke up to a conjunctival hemorrhage in my right eye . Eye showing signs of a stroke . Blood pressure has since been elevated since the vaccine was given . Suffer from panic attacks .


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