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From the 1/7/2022 release of VAERS data:

This is VAERS ID 905761

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Case Details

VAERS ID: 905761 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Female  
Location: Texas  
Vaccinated:2020-12-19
Onset:2020-12-19
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2020-12-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1685 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Blood magnesium, Blood thyroid stimulating hormone, Disturbance in attention, Dizziness, Full blood count, Glomerular filtration rate, Glycosylated haemoglobin, Headache, Lipids, Metabolic function test, Pharyngeal swelling, Pyrexia, SARS-CoV-2 test, Speech disorder, Swollen tongue
SMQs:, Anaphylactic reaction (broad), Angioedema (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Oropharyngeal allergic conditions (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Psychosis and psychotic disorders (broad), Guillain-Barre syndrome (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Depression (excl suicide and self injury) (broad), Vestibular disorders (broad), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Turmeric Multivitamin Viibryd at bedtime 12/18/20 Ditropan
Current Illness: None
Preexisting Conditions: Migraine Headaches Arthritis
Allergies: PCN Trees Dust Mold Ants Bees Multiple food allergies unknown at this time
Diagnostic Lab Data: 12/19/2020-COVID 19 nasal swab; Est GFR; Thyroid stimulating; Mag level; lipid level; BMP; CBC Hemoglobin A1c.- 12/21/2020
CDC Split Type:

Write-up: At one and a half hours after receiving her vaccine, developed tongue and throat swelling, went immediately to the ER. She was treated in the ER and was discharged to home with EPI pen. She still has the following symptoms headache, dizziness, lightheaded, fever 99.2. Difficulty concentration and talking. She is following up with her primary care physician on 12/21/2020


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