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

This is VAERS ID 1776469

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Case Details

VAERS ID: 1776469 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-10-08
Onset:2021-10-10
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-10-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0162 / 3 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Dizziness, Dizziness postural, Fatigue, Nausea
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (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: Albuterol Inhaler as needed Woman''s one a day vitamin 50 +
Current Illness: none
Preexisting Conditions: Asthma
Allergies: none
Diagnostic Lab Data: 10/11/2021: Physical exam: unremarkable Orthostatic BP: Orthostatic Blood Pressures: lying: BP- 147/74 HR- 60 symptoms-asymptomatic sitting: BP- 156/88 HR- 64 symptoms-dizziness standing: BP- 162/88 HR- 69 symptoms-dizziness standing after 2 minutes: BP- 158/85 HR- 68 symptoms- asymptomatic.
CDC Split Type:

Write-up: 10/8/21 received COVID booster, reports she was very tired the day of and the day after. Reports she woke up on 10/10/21 with nausea and some dizziness. Reports dizziness comes and goes especially with walking, but resolves after a few minutes. Reports nausea comes and goes. Denies being sick.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1776469


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