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This is VAERS ID 1415585

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1415585
VAERS Form:2
Age:33.0
Sex:Female
Location:Foreign
Vaccinated:2021-06-03
Onset:2021-06-03
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: Diarrhoea, Anal haemorrhage, Haemorrhage, SARS-CoV-2 test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? 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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