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

This is VAERS ID 1415585



Case Details

VAERS ID: 1415585 (history)  
Form: Version 2.0  
Age: 33.0  
Sex: Female  
Location: Foreign  
Vaccinated:2021-06-03
Onset:2021-06-03
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Other       Purchased by: ?
Symptoms: Anal haemorrhage, Diarrhoea, Haemorrhage, SARS-CoV-2 test
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Pseudomembranous colitis (broad), Gastrointestinal haemorrhage (narrow), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Ischaemic colitis (broad), Noninfectious diarrhoea (narrow), 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:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Acid reflux (esophageal); Lactation decreased; Vitamin D deficiency
Allergies:
Diagnostic Lab Data: Test Name: COVID-19 virus test; Test Result: Negative ; Comments: No - Negative COVID-19 test
CDC Split Type: GBPFIZER INC2021657556

Write-up: bleeding; Anal bleeding; Diarrhoea; This is a spontaneous report from a contactable consumer received from the Medicines and Healthcare products Regulatory Agency (UK-MHRA). The regulatory authority report number is GB-MHRA-APPCOVID-20210604095402, Safety Report Unique Identifier GB-MHRA-ADR 25418964. A 33-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 03Jun2021 (Lot number was not reported), vaccination at 33 years, as unknown, single dose for COVID-19 immunization. Medical history included Lactation decreased, Acid reflux (esophageal) and Vitamin D. Patient has not had symptoms associated with COVID-19. Patient was not enrolled in clinical trial. Patient was not pregnant or currently breastfeeding. The patient''s concomitant medications were not reported. The patient previously took vitamin d [colecalciferol] and folic acid. The patient experienced bleeding on an unspecified date, anal bleeding on 03Jun2021, diarrhoea on 03Jun2021. The patient bleeding a fair amount every time i the toilet (as reported). The patient underwent lab tests and procedures which included COVID-19 virus test: No - Negative COVID-19 test on unspecified date. The outcome of event bleeding was unknown, others was not recovered. This case was reported as not serious. No follow-up attempts are possible; information about lot/batch number cannot be obtained.


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