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

This is VAERS ID 1346834



Case Details

VAERS ID: 1346834 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Unknown  
Location: Minnesota  
Vaccinated:2021-01-27
Onset:2021-05-22
   Days after vaccination:115
Submitted: 0000-00-00
Entered: 2021-05-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK4176 / 1 LA / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL9264 / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, Chills, Diarrhoea, Headache, Pyrexia, SARS-CoV-2 test positive
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow), 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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Received Pfizer vaccines on 1/4/21, 1/27/21. Tested positive for COVID-19 by PCR on 5/22/21. No known exposures. Onset date of symptoms 5/20/21 w/ fever, diarrhea, H/A, chills. Received casirivimab-imdevimab 2,400 mg (1,200-1,200 mg) IVPB on 5/24/21.


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