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

This is VAERS ID 903211

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Case Details

VAERS ID: 903211 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Texas  
Vaccinated:2020-12-16
Onset:2020-12-16
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 RA / IM

Administered by: Work       Purchased by: ?
Symptoms: Dysarthria, Palpitations, Rash, Swelling face, Taste disorder
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Taste and smell disorders (narrow), Arrhythmia related investigations, signs and symptoms (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Cardiomyopathy (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Nexplanon, Nutri powder
Current Illness: Denies
Preexisting Conditions:
Allergies: amoxicillin, azithromycin, Bactrim, Bees, ceftriaxone, Clindamycin, erythromycin, Hydromorphone Hcl Injection, Keflex, Latex, Levaquin, Levicyn Antipruritic, morphine, PENICILLINS, Rocephin, ROSEMARY, seafood, SULFA (SULFONAMIDE ANTIBIOTICS), tomatoes, Xanax, z pack
Diagnostic Lab Data: Employee asked to go to ED to be evaluated
CDC Split Type:

Write-up: Facial swelling, slurred speech, taste in mouth (medicine like), heart palpitations, rash to chest and face.


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