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Become a member – form
Rasmus Nikolajsen
2024-02-28T20:06:01+00:00
Member type
Side effect affected
Relatives of the person affected by the side effect
Sponsor/support
First name
Middle name
Surname
Address
Postal code
Town
Email
Phone no.
Mobile no.
Birthday
(dd.mm.yyyy)
Sex
Man
Woman
Number of connectors
1
2
3
4
5
6
1st connector
Not selected
Pfizer
Modern
Astra Zenica
Johnson
Other
Batch no. for vaccine 1
2nd connector
Not selected
Pfizer
Modern
Astra Zenica
Johnson
Other
Batch no. for vaccine 2
3rd connector
Not selected
Pfizer
Modern
Other
Batch no. for vaccine 3
4th connector
Not selected
Pfizer
Modern
Other
Batch no. for vaccine 4
5th connector
Not selected
Pfizer
Modern
Other
Batch no. for vaccine 5
6th connector
Not selected
Pfizer
Modern
Other
Batch no. for vaccine 18
Side effects
Headaches, migraines, attacks of pins and needles
Brain fog
Pressure in the head, stuffiness in the ears
Dizziness, vertigo
Nausea
Hearing loss
Tinnitus
Sound sensitive
Light-sensitive
Hypersensitivity
Visual disturbances including blurred vision, double vision, dry eyes, mucus in the eyes
Myasthenia gravis
Concentration problems
Memory problems
Blackouts with/without treatment with epilepsy medication
High heart rate/tachycardia
Low heart rate/bradycardia
High blood pressure
Low blood pressure
Blood clots
VITT syndrome
Brain hemorrhage
Retinal detachment in both eyes
Hair loss
Rash, hives, eczema, cracked skin in the armpits
Anaphylactic shock
Newly emerged hypersensitivity/allergies (food, sunlight, etc.)
Itchy skin
Shingles
Marbling on legs/arms (white or blue)
Blisters in the mouth, burning mouth syndrome, dried mucous membranes in the mouth
Bruises/blood clots
Fatigue
Energy dependence
Sleep problems
Menstrual disorders/menstrual cessation
Stomach pain, stomach cramps
Heartburn, stomach ulcers, hiatal hernia
Intestinal problems (diarrhea, colitis, constipation, etc.)
Prolonged fever
Emotional disorders
Fibromyalgia
Guillain-Barré syndrome
Nerve pain, nerve zaps
Joint pain, “knotty rosacea”
Muscle pain
Muscle spasms, muscle cramps, tics (arms, legs, toes, eyes, etc.)
Muscle locking, muscle tension
Body tremors, shaking hands, legs, etc.
Paralysis (face), numbness around the eyes
Paralysis (body)
Myocarditis
Pericarditis
Heart failure
Heart rhythm disorders
Too big a heart
Chest pain
Decreased lung function
Shortness of breath
Asthma
Cough (long-lasting, chronic)
Low blood oxygenation
Severe drop in platelet count
Hyperinflammation
Arthritis (psoriatic arthritis, gout, rheumatoid arthritis, muscular arthritis, etc.)
Chronic autoimmune hepatitis
Inflamed wounds all over the body
Eyelid infections
Reactivation of previous inflammation damage and allergies
Nails that groove, flake, become strange
Covid toes
POTS (diagnosed)
ME (diagnosed)
Post-exertional malaise/exacerbation of illness after activity.
Reduced immune system
Overactivation of the immune system
Frequent infections/contagions including influenza, bladder/sinus/throat infections, etc.
The body's cold/heat regulation is broken
Aseptic avascular necrosis with tooth loss in previously healthy teeth
Chronic inflammation of jaw tissue
Pain in the jaw and teeth
Veins that dilate after physical/mental/social activity
Burning sensation in the skin, scalp, arms, etc.
Changes in the hormonal system, hot flashes
Metabolic problems, unexplained weight gain
Balance problems, loss of reflexes in the legs, loss of mobility
Detected M component
Depression, anxiety, etc.
No stress tolerance
Swelling of the neck, face, lips, lymph glands, legs, feet, etc.
Raunard's syndrome, poor blood supply, bluish discoloration, cold fingers/feet, white fingers, club fingers, stiff fingers
Muscle weakness/reduced strength in hands, arms, legs, etc.
Frozen shoulder, shoulder inflammation, shoulder pain etc. (stick arm)
Vibrations in the body, ears, brain, etc.
Lost/altered sense of smell, taste, or both
Tremor, dystonia (involuntary movements)
Dysphagia (difficulty swallowing), constant feeling of lump in the throat
Cancer
Sudden/unexpected death after vaccination
Civil status
Early retirement due to side effects
Part-time sick leave due to side effects
Full-time sick leave due to side effects
Terminated due to side effects
Students before vaccination
Pensioner/early retiree before vaccination
Other
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