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

This is VAERS ID 1433586



Case Details

VAERS ID: 1433586 (history)  
Form: Version 2.0  
Age: 34.0  
Sex: Female  
Location: Georgia  
Vaccinated:2021-06-15
Onset:2021-06-21
   Days after vaccination:6
Submitted: 0000-00-00
Entered: 2021-06-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0150 / 1 LA / SYR

Administered by: Private       Purchased by: ?
Symptoms: Blood culture, Chills, Culture stool, Culture urine, Diarrhoea, Exposure during pregnancy, Pain, Pyrexia, Vomiting
SMQs:, Acute pancreatitis (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Pregnancy, labour and delivery complications and risk factors (excl abortions and stillbirth) (narrow), Noninfectious diarrhoea (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (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? Yes, 3 days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications: Prenatal vitamin for pregnancy
Current Illness: none
Preexisting Conditions: none
Allergies: ancef, Benadryl, shellfish
Diagnostic Lab Data: A variety of blood, urine, and stool cultures were done at Hospital from June 22-24, 2021, but resulted in no clear indication of what caused the illness
CDC Split Type:

Write-up: Event occurred at 37 weeks gestation (estimated delivery is July 12, 2021). Severe vomiting and diarrhea accompanied by fever, chills, and body aches. After 16 hours at home, I went to the hospital at the advise of my midwife. I was admitted and given IV fluids immediately.


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