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

This is VAERS ID 1490527



Case Details

VAERS ID: 1490527 (history)  
Form: Version 2.0  
Age: 61.0  
Sex: Female  
Location: North Carolina  
Vaccinated:2021-07-18
Onset:2021-07-18
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-07-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA6780 / 1 LA / IM

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal pain upper, Chills, Condition aggravated, Diarrhoea, Headache, Influenza like illness, Injection site mass, Injection site pain, Nausea, Oropharyngeal pain, Pain
SMQs:, Acute pancreatitis (broad), Pseudomembranous colitis (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Extravasation events (injections, infusions and implants) (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? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations: Pneumonia Vaccine: Soreness around injection site.
Other Medications: None Took meds after vaccinated.
Current Illness: Breathing issues Gets nauseated at times
Preexisting Conditions: Asthma Arthritis Bursitis Allergies IBS
Allergies: Sulfur
Diagnostic Lab Data: None
CDC Split Type:

Write-up: Flu like symptoms, sore throat, headache, aches, pains through body, nauseated, stomach ache, diarrhea, area around injection was sore with a lump on it, chills


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