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

This is VAERS ID 1778857

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Case Details

VAERS ID: 1778857 (history)  
Form: Version 2.0  
Age: 69.0  
Sex: Male  
Location: Tennessee  
Vaccinated:2021-10-08
Onset:2021-10-09
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-10-12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Fatigue, Pain, Pyrexia, Vaccine positive rechallenge
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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: Suffered similar symptoms after first and second COVID vaccination doses.
Other Medications: Atorvastatin, hyosciamine, tamsulosin
Current Illness: None
Preexisting Conditions: coronary issues requiring pacemaker
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Several hours after vaccination I woke up with fever aches and pains. The fever, aches and pains lasted nearly all day Saturday. Still very tired on Sunday.


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