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

This is VAERS ID 1483616



Case Details

VAERS ID: 1483616 (history)  
Form: Version 2.0  
Age: 16.0  
Sex: Female  
Location: Unknown  
Vaccinated:2021-07-09
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 EW0198 / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Headache, Malaise
SMQs:

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:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021872786

Write-up: Does not feel well; Headache; This is a spontaneous report from a contactable consumer. This consumer (patient''s parent) reported for a 16-year-old female patient (reporter''s daughter) that: A 16-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, Batch/Lot Number: EW0198), via an unspecified route of administration on 09Jul2021 (at the age of 16-year-old) as single dose for covid-19 immunisation. The patient medical history and concomitant medications were not reported. Reporter stated I have a question I got a new information about Pfizer that their vaccine is not as effective now because of the new variant. My daughter is 16, so the Pfizer vaccine is the only one she qualified for right now, yesterday she got her first vaccine. Reporter stated she does not feel well today on 10Jul2021, but she said she doesn''t eat any Tylenol or anything, she also had a headache on unknown date in Jul2021 that''s the only thing. No therapeutic measures were taken as a result of the events. The outcome of the events was reported as unknown.


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