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

This is VAERS ID 950996



Case Details

VAERS ID: 950996 (history)  
Form: Version 2.0  
Age: 57.0  
Sex: Female  
Location: New Jersey  
Vaccinated:2021-01-15
Onset:2021-01-15
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-01-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH CZ3248 / 1 LA / IM

Administered by: Senior Living       Purchased by: ?
Symptoms: Headache, Thrombosis
SMQs:, Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (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: Vitamins Amitryptaline
Current Illness: None
Preexisting Conditions: None
Allergies: None
Diagnostic Lab Data: None.
CDC Split Type:

Write-up: Constant headache began approximately 1 hr after receiving vaccine. Awoke this morning with blood clots on my tongue


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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=950996

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