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

This is VAERS ID 1750112

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Case Details

VAERS ID: 1750112 (history)  
Form: Version 2.0  
Age: 32.0  
Sex: Female  
Location: Minnesota  
Vaccinated:2021-02-18
Onset:2021-09-30
   Days after vaccination:224
Submitted: 0000-00-00
Entered: 2021-09-30
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / 1 UN / UN
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / UNK UN / UN

Administered by: Private       Purchased by: ?
Symptoms: COVID-19, SARS-CoV-2 test positive
SMQs:, Infective pneumonia (broad), Opportunistic infections (broad), COVID-19 (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:
Other Medications: Inderal, Cymbalta, Imitrex, Ativan
Current Illness: N/A
Preexisting Conditions: N/A
Allergies: Adhesives, Keflex
Diagnostic Lab Data: Positive COVID-19 RT-PCR Test
CDC Split Type:

Write-up: Positive COVID-19 Test while fully vaccinated.


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