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This is VAERS ID 1782217

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/15/2021

VAERS ID: 1782217
VAERS Form:2
Age:42.0
Sex:Female
Location:Michigan
Vaccinated:2021-09-29
Onset:2021-09-30
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, Muscle spasms, Mobility decreased

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? 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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