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

This is VAERS ID 1333603



Case Details

VAERS ID: 1333603 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-03-18
Onset:2021-05-04
   Days after vaccination:47
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN6202 / 1 RA / IM
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER2613 / 2 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Asthenia, COVID-19, Diarrhoea, Pyrexia, SARS-CoV-2 test positive, Tachypnoea
SMQs:, Anaphylactic reaction (broad), Asthma/bronchospasm (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Eosinophilic pneumonia (broad), Noninfectious diarrhoea (narrow), Respiratory failure (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (narrow)

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? Yes, 5 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Ascorbic acid, aspirin 81 mg, carbamazepine, carvedilol, cefepime injection, escitalopram, ferrous sulfate, isosorbide mononitrate, megestrol, pantoprazole, pregabalin, sucralfate, tamoxifen, torsemide.
Current Illness:
Preexisting Conditions: Malnutrition, chronic anemia, pancreatic adenoma, GERD, neuropathy, stage IV CKD, CHF, HTN, cancer hx below.
Allergies: NKA
Diagnostic Lab Data: Novel coronavirus PCR- SARS-COV-2 detected (5/4/2021)
CDC Split Type:

Write-up: Pt is a 61 yo female with recurrent granulosa cell tumor (s/p secondary debulking/whipple in 2019), stage II colon cancer, and stage IA cancer s/p radiation on tamoxifen/megage, with history of short gut on chronic TPN. On admission (5/4) she presented with weakness, diarrhea, and fever. Pt was tachypnic to 40s, 1L NC with O2 sat $g 90% on admission. RR improved and she was eventually weaned to room air. The COVID PCR on admission resulted positive. She is s/p full Pfizer vaccination: first dose on 2/25 and second dose on 3/18. Pt remained stable on room air for the rest of her stay and received remdesivir for 5 total days.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1333603


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