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From the 9/17/2021 release of VAERS data:

This is VAERS ID 1483438



Case Details

VAERS ID: 1483438 (history)  
Form: Version 2.0  
Age: 47.0  
Sex: Female  
Location: New Hampshire  
Vaccinated:2021-06-18
Onset:2021-07-03
   Days after vaccination:15
Submitted: 0000-00-00
Entered: 2021-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Dyspnoea
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (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:
Other Medications: ZOLOFT; GABAPENTIN
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Drug allergy (Known allergies: Macro Bid antibiotic)
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021830836

Write-up: Having a difficult time breathing; This is a spontaneous report received from a contactable consumer or other non hcp. A 47-years-old female patient received second dose of bnt162b2 (PFIZER BIONTECH-COVID19 VACCINE, Batch/Lot number was not reported), via an unspecified route of administration, administered in Arm Left on 18Jun2021 09:00 as single dose for COVID-19 immunization. Medical history included drug hypersensitivity from an unknown date and unknown if ongoing, known allergies: Macro Bid antibiotic. Concomitant medications included sertraline hydrochloride (ZOLOFT) and gabapentin taken for an unspecified indication, start and stop date were not reported. Prior and since the vaccination, patient was not tested and diagnosed with COVID19.The patient was not hospitalized after vaccination. The patient did not received any other vaccine within 4 weeks prior to COVID-19 Vaccine. The patient experienced having a difficult time breathing (dyspnoea) on 03Jul2021.The outcome of the event was not resolved. No follow-up attempts are possible, information about lot/batch number cannot be obtained.


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