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

This is VAERS ID 1408621



Case Details

VAERS ID: 1408621 (history)  
Form: Version 2.0  
Age:   
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 EW3143 / 1 - / -

Administered by: Other       Purchased by: ?
Symptoms: Dysmenorrhoea, Menstruation delayed, Premenstrual pain
SMQs:, Fertility disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: Lactation decreased
Allergies:
Diagnostic Lab Data:
CDC Split Type: GBPFIZER INC2021649472

Write-up: cramps/period cramps; my period is also a day late now; Premenstrual cramps; This is a spontaneous report from a contactable pharmacist (patient) received from the Regulatory Agency. The regulatory authority report number is GB-MHRA-WEBCOVID-202106021427245140-OBL0N. Safety Report Unique Identifier GB-MHRA-ADR 25405827. A 24-year-old female patient (not pregnant, not currently breastfeeding) received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot ew3143), via an unspecified route of administration on 01Jun2021 as first dose, single for COVID-19 immunization. Medical history included suppressed lactation. The patient''s concomitant medications were not reported. The patient experienced premenstrual cramps on 01Jun2021. On unspecified date, she informed she had period cramps and she usually don''t get cramps (painful, it felt like contractions). They were so bad that she couldn''t get up at all for an hour and her period was also a day late now and she can''t be pregnant. The evens were reported as serious-disability. The outcome of premenstrual cramps was not recovered; for other events was unknown. No follow-up attempts are possible. No further information is expected.


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