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From the 4/30/2021 release of VAERS data (an older release, current is 7/16/2021):

This is VAERS ID 1245345



Case Details

VAERS ID: 1245345 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Female  
Location: Washington  
Vaccinated:2021-04-17
Onset:2021-04-21
   Days after vaccination:4
Submitted: 0000-00-00
Entered: 2021-04-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / SYR

Administered by: Other       Purchased by: ?
Symptoms: Chest discomfort, Dizziness, Feeling abnormal, Headache, Palpitations, Tinnitus, Vertigo
SMQs:, Anaphylactic reaction (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Dementia (broad), Cardiomyopathy (broad), Hearing impairment (narrow), Vestibular disorders (narrow)

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: Under age one, MMR, breathing difficulties
Other Medications: Trintillex, propranolol, gabapentin, lamotrigine. All medications taken as directed, and I have been on them all for more than a year.
Current Illness: None
Preexisting Conditions: Fibromyalgia, CPTSD
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Delayed onset (day 4): headache, dizziness and vertigo, brain fog, chest pressure, increased heart palpitations, tinnitus


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https://www.medalerts.org/vaersdb/findfield.php?SNAPSHOT=20210430&IDNUMBER=1245345


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