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

This is VAERS ID 1415914



Case Details

VAERS ID: 1415914 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated:2021-05-25
Onset:2021-06-04
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-06-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ET8885 / 1 - / -

Administered by: Other       Purchased by: ?
Symptoms: Dysmenorrhoea, Heavy menstrual bleeding, Pain, SARS-CoV-2 test, Thrombosis
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Embolic and thrombotic events, vessel type unspecified and mixed arterial and venous (narrow), Thrombophlebitis (broad), 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: PARACETAMOL
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Dysmenorrhoea; Lactation decreased; Suspected COVID-19 (Unsure when symptoms started Unsure when symptoms stopped)
Allergies:
Diagnostic Lab Data: Test Name: COVID-19 virus test; Result Unstructured Data: Test Result:No - Negative COVID-19 test
CDC Split Type: GBPFIZER INC2021657818

Write-up: pain; Heavy periods; blood clots; Painful periods; This is a spontaneous report from a contactable consumer. This is a report received from the Regulatory Agency.The regulatory authority report number is GB-MHRA-WEBCOVID-202106051644007620-EZZ9T,Safety Report Unique Identifier GB-MHRA-ADR 25426130. A 29-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), the first dose via an unspecified route of administration on 25May2021 (Batch/Lot Number: Et8885) as single dose for COVID-19 immunisation. Medical history included suppressed lactation from an unknown date, suspected covid-19 from an unknown date (Unsure when symptoms started/ Unsure when symptoms stopped), dysmenorrhoea from an unknown date. Patient was not enrolled in clinical trial. Patient was not pregnant. Patient was not currently breastfeeding. Concomitant medications included paracetamol (Manufacturer unknown) taken for dysmenorrhoea from 04Jun2021 to an unspecified stop date. The patient experienced pain on an unspecified date, heavy periods on 05Jun2021, painful periods on 04Jun2021. Her period had been so heavy she hadn''t been able to be away from a toilet for more than 20 minutes. Her menstrual cup was filling and overflowing within 30 minutes and she was passing golf ball sized blood clots. Last night her period was causing her far more pain than usual. Patient had not tested positive for COVID-19 since having the vaccine. The events were reported as serious due to medically significant. The patient underwent lab tests and procedures which included COVID-19 virus test: no-negative covid-19 test on an unspecified date. The outcome of the event pain was unknown, while the other events were not recovered. No follow-up attempts are possible. No further information is expected.


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