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From the 9/17/2021 release of VAERS data:

This is VAERS ID 903412

Case Details

VAERS ID: 903412 (history)  
Form: Version 2.0  
Age: 60.0  
Sex: Female  
Location: Kansas  
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private       Purchased by: ?
Symptoms: Facial discomfort, Feeling abnormal, Head discomfort, Hypoaesthesia, Muscle disorder, Paraesthesia
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Dementia (broad), Guillain-Barre syndrome (broad), Sexual dysfunction (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: estradol daily, magnesium, antioxidant drinks
Current Illness: none
Preexisting Conditions: none
Allergies: sulfa
Diagnostic Lab Data: none
CDC Split Type:

Write-up: About two hours after receiving vaccine pt experienced numbness, heaviness in face and progressing to entire head. Tingling in face, head, neck later. Feeling like paralysis "like if I went in and looked in mirror I would see facial dropping. Couldn''t smile or raise eyebrows. There was a heaviness in my muscles. My cheeks felt full. " Symptoms subsided by 8pm (four hours after began). "Felt like being drugged, under the influence. Felt foggy, cognitvely in a way."

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