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

This is VAERS ID 1444379



Case Details

VAERS ID: 1444379 (history)  
Form: Version 2.0  
Age: 37.0  
Sex: Female  
Location: Indiana  
Vaccinated:2021-06-28
Onset:2021-06-29
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain, Anxiety, Arthralgia, Chest discomfort, Chest pain, Chills, Condition aggravated, Diarrhoea, Extrasystoles, Fatigue, Injection site erythema, Injection site pain, Injection site pruritus, Insomnia, Lymph node pain, Menstrual disorder, Muscle spasms, Night sweats, Pain, Pain in extremity, Palpitations, Vaginal haemorrhage, Vomiting
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Arrhythmia related investigations, signs and symptoms (broad), Retroperitoneal fibrosis (broad), Pseudomembranous colitis (broad), Dystonia (broad), Extravasation events (injections, infusions and implants) (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Tachyarrhythmia terms, nonspecific (narrow), Arthritis (broad), Noninfectious diarrhoea (narrow), Tendinopathies and ligament disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), Hypoglycaemia (broad), Hypokalaemia (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? No
Previous Vaccinations: MMR vaccine 1st dose as a child ; fever chills rash irritability vomiting diarrhea
Other Medications:
Current Illness:
Preexisting Conditions: Palpitations, tricuspid valve regurgitation/leak; anxiety
Allergies: Sulfa (Bextra); latex sensitivity
Diagnostic Lab Data:
CDC Split Type:

Write-up: Abdominal pain 4 days and continuing; chest heaviness/pains 3 days; diarrhea 3 days; vaginal cramping and bleeding outside of menstrual cycle 1 day and continuing; increased palpitations and skipped heart beats 4 days and continuing; fatigue 4 days and continuing; arm tenderness at injection site 4 days; redness at injection site 3 days; itching at injection site 3 days; lymph node tenderness in right arm 3 days; chills 4 days and continuing; night sweats 4 days and continuing; vomiting 1 day; body aches 4 days and continuing; leg pain/ cramping 2 days and continuing; joint pain 2 days; anxiety 3 days; insomnia 2 days


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1444379


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