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From the 11/12/2021 release of VAERS data:

This is VAERS ID 902524

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Case Details

VAERS ID: 902524 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Nebraska  
Vaccinated:2020-12-15
Onset:2020-12-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ685 / 1 LA / IM

Administered by: Public       Purchased by: ?
Symptoms: Asthenia, Fatigue, Feeling abnormal, Heart rate increased, Hypertension, Impaired driving ability, Limb discomfort, Nervousness
SMQs:, Neuroleptic malignant syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Guillain-Barre syndrome (broad), Hypertension (narrow), Hypoglycaemia (broad), Dehydration (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:
Other Medications: Dorzolamide HCL/Timolol Maleate Ophthalmic Solution BID Sodium Chloride Ophthalmic Solution BID (10 min before other eye drops) and PRN Muro 128 (Sodium Chloride Hypertonicity Ophthalmic Ointment) @ Bedtime Prenatal Multivitamin (for
Current Illness: none
Preexisting Conditions: borderline diabetic
Allergies: Allergies: Morphine Spinal and Lumigan (Bimatoprost oph. sol.)
Diagnostic Lab Data: none
CDC Split Type:

Write-up: I am a immunization nurse at this location. I gave 2 of the first 4 Covid vaccinations given at our location. Then I received dose # 5. It was easy. I did a couple of things and then returned to my desk. As I sat down, my arm started feeling very heavy. I was unable to send a text. I told staff that I was feeling funny and that I was going to the other room to lay down. Staff followed me and took my Pulse 100 and BP 164/ 82 (high for me!) . I felt shaky, but my hands were not shaking. Put a wet cloth on my head and laid there a few minutes, telling staff stories and laughing at my BP. When I sat up, my BP was 126/74 and pulse was 80. I stood up for a minute or two, then my legs got heavy and I sat down for a few more minutes. I went to the bathroom and came back to my desk, but was weak and tired. I ate and drank some fluids. Because it was snowing and I live 25 miles away, I accepted a ride home from a co-worker. I walked across the parking lot without problems and talked all the way home. At home, I was tired, but had a sandwich and talked on the phone. I would still describe myself as tired, but functioning.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=902524


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