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This is VAERS ID 1711943

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History of Changes from the VAERS Wayback Machine

First Appeared on 9/24/2021

VAERS ID: 1711943
VAERS Form:2
Age:31.0
Sex:Male
Location:New York
Vaccinated:2021-09-07
Onset:2021-09-07
Submitted:0000-00-00
Entered:2021-09-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / -

Administered by: Unknown      Purchased by: ??
Symptoms: Abdominal pain upper, Diarrhoea

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? 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
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': USPFIZER INC202101182833

Write-up: Feeling stomach cramps; Constant diarrhea; This is a spontaneous report from a contactable consumer, the patient. A 31-year-old male patient received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration in the left arm on 07Sep2021 at 12:30 (at the age of 31-years-old) as a single dose for COVID-19 immunisation. The patient had no medical history reported. The patient had no known allergies. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. The patient did not receive any concomitant medications. On 07Sep2021 at 18:00, the patient felt stomach cramps and constant diarrhea. It was reported that after 48 hours, the patient still felt stomach cramps and constant diarrhea. The events did not result in a visit to the doctors or other healthcare professional office/clinic visit, and emergency room/department or urgent care. Therapeutic measures were not taken as a result of the events. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the events feeling stomach cramps and constant diarrhea were not recovered at the time of this report. The lot number for BNT162b2 was not provided and will be requested during follow-up.

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