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From the 11/19/2021 release of VAERS data:

This is VAERS ID 1694535

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Case Details

VAERS ID: 1694535 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-01-19
Onset:2021-09-04
   Days after vaccination:228
Submitted: 0000-00-00
Entered: 2021-09-13
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EJ1685 / 1 LA / -
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3247 / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: COVID-19, Delivery, Exposure to SARS-CoV-2, Fatigue, Oropharyngeal pain, Pain, Pregnancy, Rhinorrhoea, SARS-CoV-2 test positive, Vaccine breakthrough infection
SMQs:, Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Normal pregnancy conditions and outcomes (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? Yes, ? days
   Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: POSITIVE SARS-COV-2 BY PCR
CDC Split Type:

Write-up: This case meets vaccine breakthrough criteria. KNOWN EXPOSURE TO COVID+ COWORKER. TOOK HOME TEST 9/4 AND CONFIRMED IN CLINIC/WITH ADMISSION BY PCR. ADMITTED TO LABOR AND DELIVERY, DELIVERED BABY 9/5. SXS INCLUDE BODY ACHES, FATIGUE, RHINORRHEA, SORE THROAT.


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