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

This is VAERS ID 1408774



Case Details

VAERS ID: 1408774 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated:2021-05-01
Onset:2021-06-01
   Days after vaccination:31
Submitted: 0000-00-00
Entered: 2021-06-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH NOT KNOWN / 1 - / -

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: Medical History/Concurrent Conditions: Lactation decreased
Allergies:
Diagnostic Lab Data: Test Date: 20210601; Test Name: COVID-19 virus test; Result Unstructured Data: Test Result:Yes - Positive COVID-19 test
CDC Split Type: GBPFIZER INC2021657242

Write-up: SARS-CoV-2 infection / COVID-19 respiratory infection / COVID-19 virus test positive; SARS-CoV-2 infection / COVID-19 respiratory infection / COVID-19 virus test positive; This is a spontaneous report from a contactable healthcare professional received from the The regulatory authority report number is GB-MHRA-WEBCOVID-202106041246016680-IEGO3. Safety Report Unique Identifier: GB-MHRA-ADR 25420381. A 26-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration on 01May2021 (Batch/Lot Number: Not known) as 1ST DOSE, SINGLE for covid-19 immunisation. Medical history included suppressed lactation from an unknown date and unknown if ongoing. Patient has not had symptoms associated with COVID-19. Patient was not enrolled in clinical trial. Patient was not pregnant at the time of vaccination. Patient was not currently breastfeeding. The patient''s concomitant medications were not reported. The patient was normally fit and well. The patient experienced sars-cov-2 infection/covid-19 respiratory infection, she developed covid-19 symptoms and tested positive for covid-19 virus test on 01Jun2021 following the first dose of the vaccine. The patient underwent lab tests which included COVID-19 virus test: yes - positive covid-19 test on 01Jun2021. Outcome of the events was not recovered. Information about lot/batch number cannot be obtained. Follow-up attempts are completed. No further information is expected.


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