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

This is VAERS ID 1408526



Case Details

VAERS ID: 1408526 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
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 - / 2 - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain upper, Chest pain, Musculoskeletal chest pain, SARS-CoV-2 test
SMQs:, Acute pancreatitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), COVID-19 (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: AMITRIPTYLINE; IBUPROFEN; LUCETTE; PARACETAMOL; PROPRANOLOL; SERTRALINE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210601; Test Name: COVID-19 virus test; Result Unstructured Data: Test Result:No - Negative COVID-19 Test
CDC Split Type: GBPFIZER INC2021640403

Write-up: Stomach pain; Chest pain/stabbing pain in sternum; pain/left side of my rib cage; This is a spontaneous report from a contactable consumer (patient) received from the Regulatory Agency. The regulatory authority report number is GB-MHRA-WEBCOVID-202106012321180490-DY74T, Safety Report Unique Identifier is GB-MHRA-ADR 25401905. A 23-year-old patient of an unspecified gender received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection) via an unspecified route of administration on 01Jun2021 (Lot number was not reported) as second dose, single for covid-19 immunisation. The patient medical history was not reported. Patient has not had symptoms associated with COVID-19. Patient is not enrolled in clinical trial. Concomitant medications included amitriptyline, ibuprofen; drospirenone, ethinylestradiol (LUCETTE); paracetamol, propranolol and sertraline. On unspecified date in Jun2021, the patient experienced stomach pain, chest pain/stabbing pain in sternum and pain/left side of rib cage. "Around 3-4 hours after having the vaccine (Jun2021), I started getting stabbing pains in my sternum and slightly to the left of my chest which has progressed down to my stomach area and up the left side of my rib cage." Patient has not tested positive for COVID-19 since having the vaccine. The patient underwent lab tests and procedures which included covid-19 virus test: No - Negative COVID-19 test on 01Jun2021. Outcome of all the events was not recovered. No follow-up attempts are possible. Information about lot/batch number cannot be obtained. No further information is expected.


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