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

This is VAERS ID 1023638

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Case Details

VAERS ID: 1023638 (history)  
Form: Version 2.0  
Age: 58.0  
Sex: Female  
Location: Missouri  
Vaccinated:2021-01-25
Onset:2021-01-28
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-02-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL0142 / 2 LA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Epistaxis, Pain, Thrombosis
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad), Arthritis (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Multi-vitamin supplements
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Non-ionic X-Ray contrast dye
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Dose #2 - Nose bleeds following the 2nd Pfizer COVID-19 vaccine beginning a few days later and lasting at least (1) one week; on 2/2/2021 this patient coughed up a pea-sized bright red blood clot; no blood clots noted since that one time and no petechiae noted; severe body and joint aches and pain beginning the next day and lasting 24 hours. No fever noted on any day. Dose #1 - Nausea / diarrhea beginning a few days later and lasting two and one-half (2 1/2) weeks; sore arm same day and lasting at least 3 days. No fever noted on any day.


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