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

This is VAERS ID 1454516



Case Details

VAERS ID: 1454516 (history)  
Form: Version 2.0  
Age: 73.0  
Sex: Female  
Location: Arkansas  
Vaccinated:2021-06-20
Onset:2021-06-25
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-07-07
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0179 / 2 LA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Bladder spasm, Blood test, Computerised tomogram, Ultrasound scan, Urine analysis
SMQs:

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: DIETARY SUPPLEMENTS; OMOXYCYLLIN; TAMSULOSIN; OXICODONE
Current Illness: KIDNEY STONES
Preexisting Conditions: ATRO VALVLE; MITRO VALVE
Allergies: SHRIMP
Diagnostic Lab Data: ULTRASOUND; URINE TEST; BLOOD TEST; CT SCAN
CDC Split Type: vsafe

Write-up: SEVERE BLADDER SPASM FREQUEST RESTROOM VISITS STARTED SLOWLY AND PROGRESSED AND WORSENED.


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https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1454516


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