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VAERS ID: 2152576

AGE: 8| SEX: F|State: IL

Description

She had vomiting, high and fast heart rate, stomach issues.

Symptoms

Abdominal discomfort, Vomiting, Computerised tomogram, Heart rate increased, Magnetic resonance imaging, Ultrasound scan

Vaccines

VAX DATE: 12 November 2021 | ONSET DATE: 29 December 2021 | DAYS TO ONSET: 47
Vaccine TypeManufacturerVaccine NameDoseRouteSiteLot
  • COVID19
  • PFIZERBIONTECH
  • COVID19 (COVID19 (PFIZER-BIONTECH))
  • 2
  • SYR
  • RA

RECVDATE:01 March 2022
CAGE_YR:8
CAGE_MO:
RPT_DATE:
DIED:
DATEDIED:
L_THREAT:
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:1
X_STAY:
DISABLE:
RECOVD:U
LAB_DATA:MRI - December 1, 2021 Ultrasound - December 1, 2021 Ultrasound - January 12, 2022 MRI - February 7, 2021 CT Scan - February 10, 2022
V_ADMINBY:PVT
OTHER_MEDS:none
CUR_ILL:none
HISTORY:before vaccine none after vaccine heart issues and stomach issues.
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:2
TODAYS_DATE:01 March 2022
BIRTH_DEFECT:
OFC_VISIT:Y
ER_ED_VISIT:Y
ALLERGIES:none
V_FUNDBY:
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