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

This is VAERS ID 1011707

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Case Details

VAERS ID: 1011707 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Illinois  
Vaccinated:2021-01-26
Onset:2021-01-28
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-02-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL0140 / 1 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3249 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Activated partial thromboplastin time, Blood fibrinogen, Blood magnesium, Epistaxis, Full blood count, International normalised ratio, Metabolic function test, Petechiae, SARS-CoV-2 test
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), COVID-19 (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Prenatal vitamin, Mucinex D, and Vit, D
Current Illness:
Preexisting Conditions: Thrombocytopenia, unspecified
Allergies: Spironolactone ITCHING Rituximab
Diagnostic Lab Data: covid test, fibrinogen, INR, PTT, magnesium, CBC, CMP
CDC Split Type:

Write-up: Bloody mucus when blowing nose, petechia on legs 1/29/21.


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