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VAERS ID: 1753040

AGE: 37| SEX: F|State: OH

Description

headache that lasted for 5 days and was unable to be remedied with OTC medications - no further action taken, symptoms subsided on 9/26/21. Menstrual cycle was to begin on 9/18/21 or 9/19/21 and did not/has not begun as of 10/1/21.

Symptoms

Headache, Menstrual disorder

Vaccines

VAX DATE: 17 September 2021 | ONSET DATE: 22 September 2021 | DAYS TO ONSET: 5
Vaccine TypeManufacturerVaccine NameDoseRouteSiteLot
  • COVID19
  • PFIZERBIONTECH
  • COVID19 (COVID19 (PFIZER-BIONTECH))

        RECVDATE:
        01 October 2021
        CAGE_YR:
        37
        CAGE_MO:
        RPT_DATE:
        DIED:
        DATEDIED:
        L_THREAT:
        ER_VISIT:
        HOSPITAL:
        HOSPDAYS:
        X_STAY:
        DISABLE:
        RECOVD:
        U
        LAB_DATA:
        na
        V_ADMINBY:
        PHM
        OTHER_MEDS:
        na
        CUR_ILL:
        na
        HISTORY:
        na
        PRIOR_VAX:
        SPLTTYPE:
        FORM_VERS:
        2
        TODAYS_DATE:
        01 October 2021
        BIRTH_DEFECT:
        OFC_VISIT:
        ER_ED_VISIT:
        ALLERGIES:
        na
        V_FUNDBY:
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