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VAERS ID: 1831582

AGE: 13| SEX: F|State: GA

Description

Irregular menstrual cycles and Telogen Effluvium

Symptoms

Antinuclear antibody, Diffuse alopecia, Full blood count, Laboratory test, Menstruation irregular

Vaccines

VAX DATE: 31 May 2021 | ONSET DATE: 30 June 2021 | DAYS TO ONSET: 30
Vaccine TypeManufacturerVaccine NameDoseRouteSiteLot
  • COVID19
  • PFIZERBIONTECH
  • COVID19 (COVID19 (PFIZER-BIONTECH))
  • 2
  • IM
  • AR
  • ER8735

RECVDATE:29 October 2021
CAGE_YR:13
CAGE_MO:
RPT_DATE:
DIED:
DATEDIED:
L_THREAT:
ER_VISIT:
HOSPITAL:
HOSPDAYS:
X_STAY:
DISABLE:
RECOVD:N
LAB_DATA:Lab series done twice in October, including ANA and other autoimmune tests, along with routine CBC, Chemical panels
V_ADMINBY:PVT
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:2
TODAYS_DATE:29 October 2021
BIRTH_DEFECT:
OFC_VISIT:
ER_ED_VISIT:
ALLERGIES:
V_FUNDBY:
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