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

This is VAERS ID 1346808



Case Details

VAERS ID: 1346808 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Female  
Location: Florida  
Vaccinated:2021-04-30
Onset:2021-05-22
   Days after vaccination:22
Submitted: 0000-00-00
Entered: 2021-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0171 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Contusion, Epistaxis
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Accidents and injuries (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: unknown
Current Illness: anemia
Preexisting Conditions: unknown
Allergies: no
Diagnostic Lab Data: Patient sent to emergency room.
CDC Split Type:

Write-up: Patient reports to the pharmacy on 5/25/21 and says that as of 3 or 4 days (she can''t remember) she has bruising on both arms and bleeding from nose. She attributes this reaction to the vaccine she received on 4/30/21 but also says she suffers from low platelets and anemia. She was urged to go immediately to the hospital and second dose was postponed until further evaluation.


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