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

This is VAERS ID 902793

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Case Details

VAERS ID: 902793 (history)  
Form: Version 2.0  
Age: 71.0  
Sex: Female  
Location: Washington  
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, Blood glucose normal, Dizziness, Fatigue, Hypoaesthesia oral, Impaired work ability, Malaise, Oropharyngeal discomfort, Pharyngeal hypoaesthesia, Respiratory tract irritation, Tongue discomfort
SMQs:, Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Vestibular disorders (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: Tetanus shot. Near death experience. Saw tunnel, white light, passed relatives, God. Transient neurological problem lasting abou
Other Medications: Lisinopril 20mg, Atorvastatin 80mg, Metformin 500mg, ASA 81mg, centrum silver multivitam, folic acid 1000 mcg, D3 25 mcg (1000 IU), calcium 1200 mg, fish oil 1200mg
Current Illness: Respiratory illness, quaranteened and test covid 19 negative. Diarrhea. Quaranteened & tested covid 19 negative
Preexisting Conditions: Hypertension, High cholesterol, Type 2 diabetes, previous uterine cancer 20 years ago, resolved
Allergies: Severe reaction to Tetanus shot, after receiving previous shot without problems. Undiagnosed seasonal allergies
Diagnostic Lab Data: None
CDC Split Type:

Write-up: My symptoms started about 15 minutes after shot. Initially I felt slight dizziness begin in my head. Then I felt slight uncomfortable feeling in my lungs, throat, and tongue. They were very slight so I left the vaccine center about 25 minutes after injection. On drive home my lips started to feel numb as well as my tongue & throat. Arriving home very tired. BP 135/ 80 P70 R20 T97.6 Blood sugar 101. Slept for about 4 hours. Called in sick for 7PM shift. Too weak & tired.

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