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

This is VAERS ID 1378209



Case Details

VAERS ID: 1378209 (history)  
Form: Version 2.0  
Age: 21.0  
Sex: Female  
Location: Puerto Rico  
Vaccinated:2021-06-03
Onset:2021-06-04
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0186 / 2 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Abdominal discomfort, Pruritus, Rash, Rash erythematous
SMQs:, Anaphylactic reaction (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Hypersensitivity (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

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: Prenatal Vitamins. Pepcid AC
Current Illness: NKH
Preexisting Conditions: ASMA, Sinusitis
Allergies: NKA
Diagnostic Lab Data:
CDC Split Type:

Write-up: Local Rash around the stomach area. Itching and reddish.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1378209


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