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From the 1/14/2022 release of VAERS data:

This is VAERS ID 956894

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Case Details

VAERS ID: 956894 (history)  
Form: Version 2.0  
Age: 38.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-01-19
Onset:2021-01-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-01-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH #EL3248 / 2 RA / IM

Administered by: Other       Purchased by: ?
Symptoms: Blood pressure increased, Dizziness, Flushing, Nausea, Petechiae
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypertension (narrow), Vestibular disorders (broad), Hypersensitivity (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: Seroquel, Metformin, Synthroid, coA10 supplement
Current Illness: Hypothyroidism, PCOS
Preexisting Conditions:
Allergies: Bactrim
Diagnostic Lab Data: Unknown
CDC Split Type:

Write-up: 1638: Presented with dizziness, lightheaded, feeling flush, feels impending sense of doom, BP 138/82 (high for patient), Heart rate 75, Patient alert and oriented X3, Respiration easy and unlabored, Denies shortness of breath 1645: BP: 138/82 HR 82 99% Biox 1647: Went to get husband in the parking lot 1648: EMS called 1650: Husband with patient, patient still nausea 1653: Petechial rash observed to upper chest 1654: resting in supine position in recliner 1655: 118/70, HR 99, 99% Biox, 20 respiration 1700: EMS here 1703: no flu shot this year 1706: Left with EMS ? Patient reques


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