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

This is VAERS ID 1408045



Case Details

VAERS ID: 1408045 (history)  
Form: Version 2.0  
Age: 43.0  
Sex: Female  
Location: Foreign  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0216 / 1 RA / -

Administered by: Other       Purchased by: ?
Symptoms: Arthralgia, Body temperature, Crying, Depression, Emotional disorder, Fatigue, Haemorrhage, Heavy menstrual bleeding, Hot flush, Insomnia, Menstrual disorder, Muscle spasms, Pyrexia
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dystonia (broad), Depression (excl suicide and self injury) (narrow), Arthritis (broad), 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:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Intra-uterine contraceptive device insertion; Knee replacement; Osteoarthritis
Allergies:
Diagnostic Lab Data: Test Date: 20210603; Test Name: fever; Result Unstructured Data: Test Result:99.8 Fahrenheit; Comments: vs normal 97.5
CDC Split Type: CAPFIZER INC2021649038

Write-up: bleeding with clotting; fever; inability to regulate emotional response; joint pain particularly in small digits; insomnia; my period started out of the blue. 8 day early and heavy with clotting; my period started out of the blue. 8 day early and heavy with clotting; extreme depression; extreme Fatigue; hormone shift: crying; hot flashes; cramps; This a spontaneous report from a contactable female consumer (patient) regarding product BNT162B2. A 43-years-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in arm right on 01Jun2021 14:45 (Lot Number: EW0216) as 1st single dose at the age of 43-years-old for covid-19 immunization. Medical history included osteoarthritis, total knee replacement (TKR) left, intrauterine device (IUD). Prior to vaccination, the patient was not diagnosed with COVID-19. The patient''s concomitant medications were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. No other medications the patient received within 2 weeks of vaccination. Event started on 01Jun2021 15:15. Within the first hour, the patient started experiencing an extreme hormone shift: crying, hot flahses, depression, fatigue, cramps. Approx. 12h after vaccination, her period started out of the blue. 8 days early and heavy with clotting. Benchmark: The patient had an IUD and typical barely spot, was regular to the hour as to starting. Day 2 (02Jun2021): extreme depression and bleeding with clotting. Day 3: (now as the patient report this, 03Jun2021). Continued bleeding with clotting, hot flashes, fever (99.8F vs normal 97.5F), inability to regulate emotional responses, extreme fatigue and depression (none of which are ever experienced on an ongoing basis). Joint pain particularly in smaller digits. Fatigue but insomnia. Since the vaccination, the patient has not been tested for COVID-19. Outcome of the event was not recovered.


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