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From the 10/8/2021 release of VAERS data:

This is VAERS ID 1123927



Case Details

VAERS ID: 1123927 (history)  
Form: Version 2.0  
Age: 59.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-02-22
Onset:2021-03-16
   Days after vaccination:22
Submitted: 0000-00-00
Entered: 2021-03-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL 9267 / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal pain, Coronary artery disease, Pancreatitis chronic
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific inflammation (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Other ischaemic heart disease (narrow)

Life Threatening? No
Birth Defect? No
Died? Yes
   Date died: 2021-03-16
   Days after onset: 0
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: NA CAD, Chronic Abd pain with Opioid treatment - Chronic Pancreatitis


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Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1123927

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