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From the 10/8/2021 release of VAERS data:

This is VAERS ID 903747



Case Details

VAERS ID: 903747 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Female  
Location: Texas  
Vaccinated:2020-12-18
Onset:2020-12-18
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL0140 / 1 LA / -

Administered by: Private       Purchased by: ?
Symptoms: Hypoaesthesia, Paraesthesia, Peripheral coldness
SMQs:, Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: none
Current Illness:
Preexisting Conditions: none
Allergies: none
Diagnostic Lab Data:
CDC Split Type:

Write-up: Patient received IM vaccination. Was observed for a period of 15 minutes with no symptoms and was released. Had no symptoms but started developing numbness and tingle sensation in left arm. Patient felt cold sensation in left arm. Patient is being monitored for signs and symptoms in observation room. Will council patient on reporting to primary care physician. Will continue to monitor patient until resolution of numbness. Currently, patient does not feel any coldness in left arm anymore and is starting to feel normal.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=903747

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