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From the 11/12/2021 release of VAERS data:

This is VAERS ID 1730476

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Case Details

VAERS ID: 1730476 (history)  
Form: Version 2.0  
Age: 20.0  
Sex: Female  
Location: Unknown  
Vaccinated:0000-00-00
Onset:0000-00-00
Submitted: 0000-00-00
Entered: 2021-09-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Abdominal pain, Abortion spontaneous, Haemorrhage, Menstruation delayed, Nausea, Vomiting
SMQs:, Acute pancreatitis (broad), Haemorrhage terms (excl laboratory terms) (narrow), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Termination of pregnancy and risk of abortion (narrow), Fertility disorders (broad)

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:
CDC Split Type: USPFIZER INC202101202715

Write-up: Hemorrhaging in the hospital; Suspected to be pregnant has a miscarriage; Her period has also become "messed up" that became longer and heavier with cramping and nausea and vomiting.; Her period has also become "messed up" that became longer and heavier with cramping and nausea and vomiting; Her period has also become "messed up" that became longer and heavier with cramping and nausea and vomiting; Her period has also become "messed up" that became longer and heavier with cramping and nausea and vomiting; This is a spontaneous report from a Pfizer Sponsored Program A contactable consumer reported for a female patient A female patient of age 3 decade received bnt162b2 (BNT162B2, Formulation: Solution for injection, Batch/Lot number: Not reported) Via an unspecified route of administration on an unspecified date as a dose number unknown, single for (at the age of 3 decade) COVID-19 immunization. Patient medical history and concomitant medication were not provided. After administration of the vaccine, on an unspecified date she was hemorrhaging in the hospital and suspected to be pregnant, has a miscarriage. Her period has also become "messed up" that became longer and heavier with cramping and nausea and vomiting. Outcome of the event was unknown. The lot number for the vaccine, [BNT162B2], was not provided and will be requested during follow up.


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