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

This is VAERS ID 1483627



Case Details

VAERS ID: 1483627 (history)  
Form: Version 2.0  
Age:   
Sex: Unknown  
Location: Unknown  
Vaccinated:2021-07-12
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 EW0196 / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Diarrhoea
SMQs:, Pseudomembranous colitis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (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:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021878122

Write-up: Diarrhea; This is a spontaneous report from a contactable consumer. This consumer (patient) of unspecified age and gender reported that the patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot Number: the number was 19289, it was EW0196 (as reported), Expiry Date: Unknown), via an unspecified route of administration on 12Jul2021 as dose number unknown, single for COVID-19 immunization. The patient medical history and concomitant medications were not reported. In Jul2021, after the patient took the shot, the patient had diarrhea. The outcome of event was unknown. Information about lot and batch number was requested.


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