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

This is VAERS ID 1442700



Case Details

VAERS ID: 1442700 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Mississippi  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Asthenia, Chills, Decreased appetite, Dehydration, Fatigue, Feeding disorder, Feeling abnormal, Gingival pain, Illness, Influenza like illness, Pain
SMQs:, Hyperglycaemia/new onset diabetes mellitus (broad), Dementia (broad), Gingival disorders (narrow), Guillain-Barre syndrome (broad), Dehydration (narrow)

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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021756085

Write-up: She is drinking juices and sprite to keep from getting dehydrated; she has been feeling horrible; Has been sick; Chills; Can''t eat; No appetite; Tired; No energy; Body aches; When she tries to eat her gums are sore; The physician she works for says flu like symptoms; This is a spontaneous report received from a contactable consumer (patient). A female patient of an unspecified age received first dose of BNT162B2 (PFIZER-BIONECH COVID-19 VACCINE, Batch/Lot number was not reported), Solution for injection, via an unspecified route of administration on Jun2021 as single dose for covid-19 immunisation. The patient medical history and concomitant medications were not reported. On an unspecified date in Jun2021, the patient had been sick, chills, can''t eat, no appetite, tired, no energy, body aches, when she tried to eat her gums are sore, the physician she worked for said flu like symptoms, she was drinking juices and sprite to keep from getting dehydrated, she had been feeling horrible. Got first dose of vaccine on Thursday and had been sick, chills, can''t eat, no appetite, tired and no energy. Patient wanted to know, if this was normal. Patient also reported body aches, when she tried to eat her gums were sore, and no appetite. She was drinking juices and sprite to keep from getting dehydrated. The physician she worked for said flu like symptoms. She asked, should it be going on this long? She stated she will have to ask about the second dose because she may not take it if she was still sick then. The outcome of events was unknown. Information on batch/lot number has been requested.


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