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

This is VAERS ID 1331280



Case Details

VAERS ID: 1331280 (history)  
Form: Version 2.0  
Age: 15.0  
Sex: Female  
Location: Arizona  
Vaccinated:2021-05-16
Onset:2021-05-19
   Days after vaccination:3
Submitted: 0000-00-00
Entered: 2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain upper, Diarrhoea, Vomiting
SMQs:, Acute pancreatitis (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Aderall, low dose naltrexone, yaz, Prozac, bupropion
Current Illness: None
Preexisting Conditions: Ehlers danlos syndrome, narcolepsy, endometriosis, mcas
Allergies: None
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Diarrhea, vomiting, stomach pain


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1331280


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