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From the 9/17/2021 release of VAERS data:

This is VAERS ID 1407422



Case Details

VAERS ID: 1407422 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated:2021-05-01
Onset:2021-06-04
   Days after vaccination:34
Submitted: 0000-00-00
Entered: 2021-06-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: COVID-19, Drug ineffective, SARS-CoV-2 test
SMQs:, Lack of efficacy/effect (narrow), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210604; Test Name: PCR test; Test Result: Positive
CDC Split Type: BRPFIZER INC2021655899

Write-up: tested positive for Covid; tested positive for Covid; This is a spontaneous report from a contactable consumer (patient''s father) from Pfizer medical information team. A female patient of unspecified age received bnt162b2 (COMIRNATY), unknown dose in May2021 as single dose for COVID-19 immunisation. Medical history and concomitant medications were not reported. Patient''s father reported that his daughter took the pfizer vaccine last week and today she tested positive for Covid on 04Jun2021 and asked if it would be a false negative for PCR, since pfizer vaccine is from RNA. The outcome of the event was unknown. The batch number has been requested in follow-up-activities.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1407422


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