VAERS ID: 1725823

AGE: 36| SEX: F|STATE: NJ (United States)

Description

Immediate and sudden numbness and tingling in left hand/fingers 8/15/2021 Extreme pain in left arm, left armpit, side of left neck , numbness and tingling in left elbow and hand/fingers 8/18/21 Extreme Pain in left side of chest, left arm , left armpit, and left side of neck 8/25/21 Extreme pain in the left arm, left shoulder, and left side of neck

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Symptoms

Arthralgia, Neck pain, Paraesthesia, Hypoaesthesia, Chest pain, Pain in extremity, Blood test, Ultrasound scan, Electrocardiogram, Axillary pain

Vaccines

VAX DATE: 08-14-2021| ONSET DATE: 08-14-2021| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH FC3181 LA

RECVDATE:09-23-2021
RPT_DATE:
CAGE_YR:36
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:8/14/21 blood work and EKG 8/25/21 ultrasound
V_ADMINBY:PHM
OTHER_MEDS:Cetirizine Multivitamin
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:09-23-2021
BIRTH_DEFECT:U
OFC_VISIT:Y
ER_ED_VISIT:Y
ALLERGIES:Penicillin, latex, Zpack antibiotic, rice, soy, aleve, contrast, motrin
V_FUNDBY:

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