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From the 10/15/2021 release of VAERS data:

This is VAERS ID 903839



Case Details

VAERS ID: 903839 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Female  
Location: Alaska  
Vaccinated:2020-12-17
Onset:2020-12-17
   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 EJ1685 / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Erythema, Tachycardia
SMQs:, Anaphylactic reaction (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Hypersensitivity (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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: Synthroid
Current Illness: Group A strep on 11/30/2020
Preexisting Conditions: Hypothyroid Eczema
Allergies: NKA
Diagnostic Lab Data: monitored vital signs
CDC Split Type:

Write-up: Red neck and face 10min after injection lasting 15-20min Short episode of self resolving tachycardia


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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=903839

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