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

This is VAERS ID 1483614



Case Details

VAERS ID: 1483614 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Colorado  
Vaccinated:0000-00-00
Onset:2021-07-01
Submitted: 0000-00-00
Entered: 2021-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0171 / 2 LA / -

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Drug ineffective, SARS-CoV-2 antibody test
SMQs:, Lack of efficacy/effect (narrow), 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:
Current Illness:
Preexisting Conditions: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None, Comment: other medical history: No
Allergies:
Diagnostic Lab Data: Test Date: 20210701; Test Name: Rapid Test; Test Result: Positive ; Comments: Nasal Swab
CDC Split Type: USPFIZER INC2021868953

Write-up: I contracted Covid-19 two months after getting my second dose with symptoms; I contracted Covid-19 two months after getting my second dose with symptoms; This is a spontaneous report from a contactable consumer (patient). A 29-yeas-old non pregnant female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot Number: EW0171), dose 2 via an unspecified route of administration, administered in left arm on an unspecified date, as single dose and dose 1 via an unspecified route of administration, administered in left arm on 03Apr2021 (Lot Number: ER8730), as single dose for COVID-19 immunisation. The patient had no other medical history and no known allergies. The patient had no any other medications received within 2 weeks of vaccination. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had been tested for COVID-19. The patient did not receive any other vaccines within four weeks prior to the COVID vaccine. The patient contracted COVID-19 (01Jul2021 at 10:00) two months after got her second dose with loss of taste and smell, body aches, nausea, vomiting and chills and fever while on vacation. The patient underwent lab tests and procedures which included rapid test (nasal swab): positive on 01Jul2021. Event occurred in a location different from that of the reporter. The patient did not receive treatment in response to the events. Outcome of the events was resolving. No follow-up attempts are possible. No further information is expected.


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