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From the 4/30/2021 release of VAERS data:

This is VAERS ID 903916



Case Details

VAERS ID: 903916 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Virginia  
Vaccinated:2020-12-18
Onset:2020-12-18
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Anxiety, Dysarthria, Dysgeusia, Dysphagia, Facial paralysis, Flushing, Lymphadenopathy, Paraesthesia, Swelling face, Throat irritation
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Peripheral neuropathy (broad), Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Conditions associated with central nervous system haemorrhages and cerebrovascular accidents (broad), Hearing impairment (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Unknown
Current Illness: None listed
Preexisting Conditions: none listed
Allergies: No listed
Diagnostic Lab Data: Reporter not privileged to this information.
CDC Split Type:

Write-up: Individual started complaining of an itch in her throat and felt some degree of lymph node swelling on the right side. Collective symptoms include: anxiety, flushing, short term paresthesia, right sided facial swelling, difficulty swallowing, right sided facial droop, medicinal taste. some slurring. Individual was taken to the ed in house, triaged, treated and released. Reporter is not privileged to details of treatment, but aware of release within hours of being seen.


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