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

This is VAERS ID 1430434



Case Details

VAERS ID: 1430434 (history)  
Form: Version 2.0  
Age: 22.0  
Sex: Female  
Location: Nevada  
Vaccinated:2021-03-15
Onset:2021-06-20
   Days after vaccination:97
Submitted: 0000-00-00
Entered: 2021-06-27
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EN 6208 / 1 RA / SYR
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8734 / 2 RA / IM

Administered by: Military       Purchased by: ?
Symptoms: Condition aggravated, Dysmenorrhoea
SMQs:

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: Typhoid
Other Medications: Duloxitine, hydroxizine, prozosin, vitamin e, b-complex, tylenol
Current Illness:
Preexisting Conditions: Mental illness, hyperhydrosis, autism
Allergies: Peanuts, grapefruit, bass
Diagnostic Lab Data:
CDC Split Type:

Write-up: Worsened dysmenorrhea


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1430434


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