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This is VAERS ID 1775740

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First Appeared on 10/15/2021

VAERS ID: 1775740
VAERS Form:2
Age:73.0
Sex:Female
Location:Washington
Vaccinated:2021-10-01
Onset:2021-10-01
Submitted:0000-00-00
Entered:2021-10-10
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0185H / 3 LA / IM

Administered by: Pharmacy      Purchased by: ??
Symptoms: Chills, Dehydration, Headache, Hyperglycaemia, Hyponatraemia, Hypovolaemia, Influenza like illness, Nausea, Pain, Renal failure, Vomiting, Dyslipidaemia, Decreased appetite, Liver function test increased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations: Shingles
Other Medications: Carvedilol Vitamin D-3 CoQ-10 Colesevelam Ezetimibe Levothyroxine Rosuvastatin Triamterene-hydrochlorothiazide
Current Illness:
Preexisting Conditions: Very healthy. Hypertension and high cholesterol under control for years.
Allergies: Codeine Meloxicam Nitrofurantoin Oxycodone Secobarbital
Diagnostic Lab Data: Diagnosis included ?volume depletion, elevated Lfts, HyponatRemix, dyslipidemia and hyperglycemia.?
CDC 'Split Type':

Write-up: By 7:00 the night of injection ( 10/1)I had lost my appetite. By 10:00 PM I started getting the chills. Chills off and on throughout the night. The next morning (10/02)I had flu-like symptoms??.achy body, bad headache, chills, no appetite and nausea. Started vomiting. couldn?t even keep water down. All symptoms continued the next day ( 10/03). Knew I was dehydrated so husband took me to the ER. At ER I was diagnosed with extreme dehydration and renal failure. Admitted to the hospital 10/03. In hospital until late 10/05 when discharged.

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