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From the 9/10/2021 release of VAERS data:

This is VAERS ID 1367991



Case Details

VAERS ID: 1367991 (history)  
Form: Version 2.0  
Age: 55.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-06-01
Onset:2021-06-02
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Arthralgia, Diarrhoea, Injection site pain, Nausea
SMQs:, Acute pancreatitis (broad), Pseudomembranous colitis (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Arthritis (broad), Noninfectious diarrhoea (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? No
Previous Vaccinations:
Other Medications: Levothyroxine, Celexa, gabapentin, lorzapam
Current Illness: none
Preexisting Conditions: hypothyroid
Allergies: none
Diagnostic Lab Data: none
CDC Split Type:

Write-up: Scale of 1-10. 10 being severe. 1:30 am joint pain, 5; site tenderness, 4; nausea, 3. Joint pain lessened by 12 pm on 06/02. Nausea worsened all day on 06/02. Loose stools 11 times that same day.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1367991


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