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

This is VAERS ID 947816

Case Details

VAERS ID: 947816 (history)  
Form: Version 2.0  
Age: 56.0  
Sex: Female  
Location: Virginia  
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-01-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Military       Purchased by: ?
Symptoms: Blood creatine phosphokinase increased, Lymphopenia, Platelet count decreased, Rhabdomyolysis, Thrombocytopenia, White blood cell count decreased
SMQs:, Rhabdomyolysis/myopathy (narrow), Haematopoietic leukopenia (narrow), Haematopoietic thrombocytopenia (narrow), Neuroleptic malignant syndrome (broad), Systemic lupus erythematosus (narrow), Myocardial infarction (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: synthroid, mutli-vitamin, Vit C, whey protein
Current Illness:
Preexisting Conditions: hypothyroidism, seasonal allergies
Allergies: Mango, nickel
Diagnostic Lab Data: as above 1/14 WBC 2.7 and plt 145 CK 3400
CDC Split Type:

Write-up: mild rhabdomyolysis presentation and lymphopenia and thrombocytopenia

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