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This is VAERS ID 1751089

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/15/2021

VAERS ID: 1751089
VAERS Form:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other      Purchased by: ??
Symptoms: Abdominal pain upper, Dizziness, Headache, Lymphadenopathy, SARS-CoV-2 test

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:
Diagnostic Lab Data: Test Date: 20210914; Test Name: COVID-19 virus test; Test Result: Negative ; Comments: No - Negative COVID-19 test
CDC 'Split Type': GBPFIZER INC202101226528

Write-up: Stomach cramps; Swollen lymph nodes; Dizziness; Headache; This is a spontaneous report from a contactable consumer or other non hcp received from a Regulatory Authority. The regulatory authority report number is GB-MHRA-WEBCOVID-202109172150263000-DNMTX. Sender''s (Case) Safety Report Unique Identifier is GB-MHRA-ADR 25961701. A 23-year-old non pregnant female patient received BNT162B2 (COVID-19 MRNA VACCINE BIONTECH, Solution for injection), via an unspecified route of administration on 13Sep2021 (Lot number was not reported) as dose 2, single for COVID-19 immunisation. The patient medical history was not reported. Patient has not had symptoms associated with COVID-19. Patient is not currently breastfeeding. The patient''s concomitant medications were not reported. Historical vaccine included first dose of BNT162B2, via an unspecified route of administration on unknown date for COVID-19 immunisation. The patient experienced stomach cramps on 15Sep2021, swollen lymph nodes, dizziness and headache on 14Sep2021. Patient has not tested positive for COVID-19 since having the vaccine. All events are medically significant. Patient is not enrolled in clinical trial. The patient underwent lab tests and procedures which included sars-cov-2 test: negative 14Sep2021, No - Negative COVID-19 test. The outcome of the event swollen lymph nodes was recovered with sequel and not recovered for other events. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

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