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From the 9/17/2021 release of VAERS data:

This is VAERS ID 1415621



Case Details

VAERS ID: 1415621 (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: 2021-06-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW3143 / 1 - / -

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain, Dysmenorrhoea, Headache, Nausea
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (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:
CDC Split Type: GBPFIZER INC2021657697

Write-up: abdominal pain; Painful periods; Headache; Nausea; This is a spontaneous report from a contactable consumer received from the Regulatory Agency (RA). The regulatory authority report number is GB-MHRA-WEBCOVID-202106040910078540-IX13B. Safety Report Unique Identifier: GB-MHRA-ADR 25418903. A 33-years-old female patient received bnt162b2 (BNT162B2), dose 1 via an unspecified route of administration on 02Jun2021 (Lot Number: EW3143) as single dose for covid-19 immunization. Medical history included suppressed lactation. The patient''s concomitant medications were not reported. The patient experienced abdominal pain on an unspecified date with outcome of recovering, painful periods on 03Jun2021 with outcome of not recovered, headache and nausea on 03Jun2021 with outcome of recovering. Took paracetamol which seemed to have somewhat relieve the headache, but the abdominal pain still persists. Seriousness criteria reported as medical significant. Patient has not had symptoms associated with COVID-19. Not had a COVID-19 test. Patient is not enrolled in clinical trial. Patient is not pregnant, Patient is not currently breastfeeding. Patient has not tested positive for COVID-19 since having the vaccine No follow-up attempts are needed. No further information is expected.


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