VAERS ID: 1938564

AGE: 10| SEX: M|STATE: FL (United States)

Description

Received 2nd Covid vaccine on 12/3/2021. On 12/9/2021 around 5pm, he got sick with nausea, stomach pains, nausea, vomiting, and diarrhea and is staying home from school on 12/10/2021.. The same exact thing happened at 5am on 11/17/2021 and he had to stay home from school because of it and his first vaccine dose was on 11/12/2021. I reported separately for the incident related to his first vaccine dose.

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Symptoms

Vomiting, Nausea, Diarrhoea, Vaccine positive rechallenge, Abdominal pain upper, Loss of personal independence in daily activities

Vaccines

VAX DATE: 12-03-2021| ONSET DATE: 12-09-2021| DAYS TO ONSET: 6
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH FK5618 SYR

RECVDATE:12-10-2021
RPT_DATE:
CAGE_YR:10
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:U
LAB_DATA:
V_ADMINBY:PHM
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:12-10-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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