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

This is VAERS ID 1470327



Case Details

VAERS ID: 1470327 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Female  
Location: New Mexico  
Vaccinated:2021-01-28
Onset:2021-07-13
   Days after vaccination:166
Submitted: 0000-00-00
Entered: 2021-07-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3247 / 2 RA / IM

Administered by: Private       Purchased by: ?
Symptoms: Abdominal pain upper, Arthralgia, Chills, Dyspnoea, Ear pain, Influenza A virus test negative, Influenza B virus test, Oropharyngeal pain, Productive cough, Respiratory syncytial virus test positive, SARS-CoV-2 test positive
SMQs:, Anaphylactic reaction (broad), Acute pancreatitis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Cardiomyopathy (broad), Arthritis (broad), Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (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: Tylenol, Aspirin, Atorvastatin, CalciumCyclobenzaprine HCL, Estrogens cream, Guaifenesin/DM, Ibuprofen, Lisinopril, Loratadine, Metformin hcl, mULTIVITAMIN, Naproxen,Semaglutide ,
Current Illness: None
Preexisting Conditions: Smoker, Obesity, hearing loss, DM type 2, Arthritis of knee, tricompartmental degeneration
Allergies: Vancomycin
Diagnostic Lab Data: Jul 13, 2021@14:10:07 FLU A NEGATIVE, FLU B NEGATIVE, RSV NEGATIVE _COVID-19 POSITIVE*
CDC Split Type:

Write-up: complains of sore throat, left ear ache, chills, painful knees, stomach ache, productive cough, and shortness of breath.


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