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This is VAERS ID 1415848

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1415848
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2021-06-02
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 - / 1 - / -

Administered by: Other      Purchased by: ??
Symptoms: Abdominal pain, SARS-CoV-2 test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: Suspected COVID-19
Allergies:
Diagnostic Lab Data: Test Date: 20210108; Test Name: COVID-19 virus test; Test Result: Positive ; Comments: Yes - Positive COVID-19 test
CDC 'Split Type': GBPFIZER INC2021657976

Write-up: Abdominal pain; This is a spontaneous report from a contactable consumer received from the regulatory authority (RA). The regulatory authority report number is GB-MHRA-WEBCOVID-202106050812260430-UG8VW Safety Report Unique Identifier GB-MHRA-ADR 25425149. A female patient of an unspecified age received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 02Jun2021 (Lot number was not reported) as single dose for COVID-19 immunisation. Medical history included suspected covid-19 from 03Jan2021 to 14Jan2021. Patient is not enrolled in clinical trial. The patient''s concomitant medications were not reported. The patient experienced severe abdominal pain (disability) on 03Jun2021. The patient underwent lab tests and procedures which included COVID-19 virus test: positive (Yes - Positive COVID-19 test) on 08Jan2021. Outcome of the event was not recovered. No follow-up attempts are possible. Information about batch no cannot be obtained.

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