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

This is VAERS ID 1782217

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Case Details

VAERS ID: 1782217 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-09-29
Onset:2021-09-30
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-10-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FF2587 / 2 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Influenza like illness, Mobility decreased, Muscle spasms
SMQs:, Dystonia (broad), Parkinson-like events (broad), Tendinopathies and ligament 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: Omeprazole Ketotifen Eye Drops Montelukast Hydrocodone-Acetaminophen Baclofen Cyclobenzaprine Naratriptan Escitalopram
Current Illness:
Preexisting Conditions: Fibromyalgia Endometriosis Rheumatoid Arthritis Endometriosis Migraines
Allergies: Latex
Diagnostic Lab Data:
CDC Split Type:

Write-up: The patient experienced flu-like symptoms the next day, but also muscle spasms. The muscle spasms continued to worsen over the next few days, until on 10/3 the patient said they could not move at all. The muscle spasms lessened after that, but continue to occur.


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