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From the 7/23/2021 release of VAERS data:

This is VAERS ID 1329462



Case Details

VAERS ID: 1329462 (history)  
Form: Version 2.0  
Age: 28.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-05-02
Onset:2021-05-02
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / 2 RA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal pain upper, Arthralgia, Diarrhoea, Headache, Insomnia, Loss of consciousness, Myalgia, Nausea, Pain, Pain of skin
SMQs:, Torsade de pointes/QT prolongation (broad), Rhabdomyolysis/myopathy (broad), Acute pancreatitis (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Pseudomembranous colitis (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Hypotonic-hyporesponsive episode (broad), Generalised convulsive seizures following immunisation (broad), Arthritis (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Hypoglycaemia (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: ADDERALL; PAXIL [PAROXETINE HYDROCHLORIDE]
Current Illness:
Preexisting Conditions: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021497508

Write-up: skin pain; Nausea; Unable to sleep; Stomach pain; Diarrhea; Passed out from pain; Very extreme joint, muscle, organ, skin pain in every cell of body; 40 hours later, joints are still nearly unbearably sore; Very extreme joint, muscle, organ, skin pain in every cell of body; Headache; This is a spontaneous report from a contactable consumer (patient) A 28-years-old female patient received the second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE) via an unspecified route of administration, administered in Arm Right on 02May2021 (reported as at 15:30 ) (Batch/Lot Number: Unknown) as 2ND DOSE, SINGLE for covid-19 immunization. The patient had no known medical history or allergies. Historical Vaccine includes 1st Dose of bnt162b2 on 11Apr2021 at 15:30 in right arm. Concomitant medications included amfetamine aspartate, amfetamine sulfate, dexamfetamine saccharate, dexamfetamine sulfate (ADDERALL), paroxetine hydrochloride (PAXIL [PAROXETINE HYDROCHLORIDE]). No other vaccines were given within 4 weeks. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination the patient had not been tested for COVID-19. On 02May2021 at 02:00 the patient experienced passed out from pain, very extreme joint, muscle, organ, skin pain in every cell of body, 40 hours later, joints are still nearly unbearably sore, headache, skin pain, nausea, unable to sleep, stomach pain, diarrhea. Therapeutic measures were taken as a result of very extreme joint, muscle, organ, skin pain in every cell of body, headache. The clinical course was reported as follows Very extreme joint, muscle, organ, skin pain in every cell of body. Passed out from pain, Headache, Nausea. Pain only became slightly tolerable after taking 400 mg of both ibuprofen and acetaminophen nearly every 4 hours for the first 32 hours. Unable to sleep. Stomach pain. Diarrhea. 40 hours later, joints are still nearly unbearably sore. Continued stomach pain and diarrhea. The clinical outcome of the events was reported as recovering. The lot number for the vaccine, BNT162B2, was not provided and will be requested during follow up.


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