VAERS ID: 1860805

AGE: 9| SEX: F|STATE: MI (United States)

Description

Patient initially had normally expected side effects from the vaccine. Next day - he had a sore arm. 2 days after - he was achy with low grade fever. 3 days after - he woke up feeling better, but that evening started to develop multiple canker sores in his mouth. By the next morning (4 days after his vaccine) he had 8-10 canker sores in his mouth. He has no history of canker sores, and there was no injury to his mouth that caused this.

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Symptoms

Pyrexia, Pain, Pain in extremity, Aphthous ulcer

Vaccines

VAX DATE: 11-04-2021| ONSET DATE: 11-07-2021| DAYS TO ONSET: 3
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH SYR LA

RECVDATE:11-11-2021
RPT_DATE:
CAGE_YR:9
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:None
V_ADMINBY:PHM
OTHER_MEDS:Multivitamin
CUR_ILL:Luka had a positive Covid test on Oct. 11, 2021. His symptoms started in the evening on Oct. 10, 2021.
HISTORY:None
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:11-11-2021
BIRTH_DEFECT:U
OFC_VISIT:Y
ER_ED_VISIT:U
ALLERGIES:None
V_FUNDBY:

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