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

This is VAERS ID 1424238



Case Details

VAERS ID: 1424238 (history)  
Form: Version 2.0  
Age: 51.0  
Sex: Female  
Location: Wisconsin  
Vaccinated:2021-06-09
Onset:2021-06-20
   Days after vaccination:11
Submitted: 0000-00-00
Entered: 2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0183 / 2 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Epistaxis, Mouth haemorrhage, Pain
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: None
Current Illness: None
Preexisting Conditions: None
Allergies: Sulfa
Diagnostic Lab Data: (2) ER Visits on 6/20/21
CDC Split Type: Not sure: EW0183

Write-up: On 6/20/21, I woke up with a severe bloody nose, running out both my nose and my mouth. I bled profusely for over an hour. Spent time at the ER at 4:30am and then again at a different ER again at 8:00am. Finally got it stopped. I have never had a bloody nose before. Currently, I am still extremely achy.


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