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From the 9/3/2021 release of VAERS data:

This is VAERS ID 1442713

Case Details

VAERS ID: 1442713 (history)  
Form: Version 2.0  
Age: 65.0  
Sex: Female  
Location: New York  
Submitted: 0000-00-00
Entered: 2021-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Private       Purchased by: ?
Symptoms: Diarrhoea
SMQs:, Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (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: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021783113

Write-up: Diarrhea; This is a spontaneous report from a contactable consumer (patient). A 65-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in right arm on 10Jun2021 10:30 (Lot Number: EW0186; Expiration Date: Aug2021) as dose 1, single for COVID-19 immunization at the age of 65-year-old. The patient received the COVID-19 vaccine in hospital. Medical history and concomitant medications were none. No family history. The patient did not receive any vaccinations prior to COVID vaccine. The patient did not undergo any relevant tests. The patient experienced diarrhea and stated that its looks like it is water on an unspecified date of Jun2021 (reported as about 4 days ago). The event did not result in any emergency room or physician office visit. It was reported the event was persisting (not recovered). She is scheduled for the second dose on 01Jul2021.

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