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From the 9/3/2021 release of VAERS data:

This is VAERS ID 1412116



Case Details

VAERS ID: 1412116 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated:2021-06-02
Onset:2021-06-03
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Body temperature, Headache, Malaise, Mood altered, Nausea, Pain in extremity, Pyrexia, Suspected COVID-19
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Depression (excl suicide and self injury) (broad), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), 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: COVID-19
Allergies:
Diagnostic Lab Data: Test Date: 20210603; Test Name: body temp; Result Unstructured Data: Test Result:up to 39.1 Centigrade
CDC Split Type: PLPFIZER INC2021664304

Write-up: This is a spontaneous report received from a non-contactable consumer (patient). A female patient of an unspecified age received bnt162b2 (COMIRNATY), via an unspecified route of administration on 02Jun2021 (Batch/Lot number was not reported) as single dose for covid-19 immunisation. Medical history included covid-19 in Mar2021. The patient''s concomitant medications were not reported. The patient had this vaccine yesterday (02Jun2021) and today (03Jun2021) she had very high fever, nausea, fever up to 39 and 1 degree, headache, malaise, very bad mood, pain in her hand and she felt as if she had COVID infection. The outcome of the events was unknown. No follow-up attempts possible. Batch/lot number was not provided and cannot be obtained.


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