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

This is VAERS ID 1760542

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Case Details

VAERS ID: 1760542 (history)  
Form: Version 2.0  
Sex: Female  
Location: Foreign  
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: ?
Symptoms: Pulmonary embolism
SMQs:, Embolic and thrombotic events, venous (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: Medical History/Concurrent Conditions: Obesity
Diagnostic Lab Data:
CDC Split Type: FRPFIZER INC202101239626

Write-up: Embolism pulmonary; This is a spontaneous report from a contactable physician downloaded from the regulatory authority. WEB, regulatory authority number FR-AFSSAPS-BX20218627. A 27-years-old female patient received second dose of BNT162B2 (COMIRNATY), intramuscular on 06Sep2021 (Batch/Lot Number: 1F038A) as single dose for covid-19 immunisation. Medical history included obesity. She had no medical history of Covid. The patient''s concomitant medications were not reported. The patient previously received first dose of BNT162B2 (COMIRNATY) on 06Aug2021 (lot Number: FE8244) as single dose for covid-19 immunisation and no information on the tolerance of dose 1. On day 1 from dose 2 on 07Sep2021, the patient experienced embolism pulmonary. The outcome of the event was recovered with sequel. The event was serious due to hospitalization. No follow-up attempts are possible. No further information is expected.

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