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

This is VAERS ID 1333681



Case Details

VAERS ID: 1333681 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Male  
Location: Connecticut  
Vaccinated:2021-04-22
Onset:2021-05-02
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0170 / 2 RA / IM

Administered by: Public       Purchased by: ?
Symptoms: Abdominal pain upper, Blood potassium normal, Blood sodium normal, Blood triglycerides normal, Haematocrit increased, Haemoglobin increased, Imaging procedure abnormal, Neutrophil count normal, Pancreatic injury, Pancreatitis acute, Platelet count normal, White blood cell count increased
SMQs:, Acute pancreatitis (narrow), Neuroleptic malignant syndrome (broad), Malignancy related therapeutic and diagnostic procedures (narrow), Accidents and injuries (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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? Yes, 2 days
   Extended hospital stay? No
Previous Vaccinations: Tetanus, unknown reaction
Other Medications: ? OTC antacids
Current Illness: none
Preexisting Conditions: esophageal reflux
Allergies: Penicillins; Tetanus vaccine
Diagnostic Lab Data: Recent Labs Lab 05/02/21 0815 WBC 10.5* HGB 18.1* HCT 53.2* PLT 289 Recent Labs Lab 05/02/21 0815 NEUTROPHILS 72.2 Recent Labs Lab 05/02/21 0815 05/03/21 0733 NA 142 138 K 4.0 4
CDC Split Type:

Write-up: Admit date: 5/2/2021 Age: 50 y.o. Discharge date: 5/4/2021 Discharged Condition: good Disposition: Home Principal Diagnosis: Acute pancreatitis without infection or necrosis Other Active Diagnoses: Present on Admission: o Acute pancreatitis without infection or necrosis Issues to be Addressed Post Discharge: 1. Referral to GI to review episode of pancreatitis, isolated episode with quick recovery, to review need for further evaluation 2. Follow-up with PCP for discharge follow-up


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