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

This is VAERS ID 1378229



Case Details

VAERS ID: 1378229 (history)  
Form: Version 2.0  
Age: 31.0  
Sex: Female  
Location: Nevada  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0167 / 1 LA / IM

Administered by: Private       Purchased by: ?
Symptoms: Injection site pain, No adverse event, Pregnancy, Product preparation issue
SMQs:, Extravasation events (injections, infusions and implants) (broad), Normal pregnancy conditions and outcomes (narrow), Medication errors (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 vitamin
Current Illness: None
Preexisting Conditions: Gestational diabetes
Allergies: NKDA
Diagnostic Lab Data: N/A
CDC Split Type:

Write-up: Patient was given an undiluted dose of Pfizer vaccine. Patient is currently pregnant, due 6/25/2021 with a scheduled induction on 6/14/2021 due to gestational diabetes. Patient has had no adverse reaction to undiluted vaccine as of 6/7/2021. Patient has been contacted and notified of the undiluted dose given, only report is soreness at the injection site on 6/5/2021 but much better today 6/7/2021.


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