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VAERS ID: 2019760

AGE: 9| SEX: M|State: MN

Description

Vomiting x2 (at 12:10 on 1/9/2022 preceded by about 4 hrs. of upset stomach and continued upset stomach post vomiting.

Symptoms

Abdominal discomfort, Vomiting

Vaccines

VAX DATE: 04 January 2022 | ONSET DATE: 08 January 2022 | DAYS TO ONSET: 4
Vaccine TypeManufacturerVaccine NameDoseRouteSiteLot
  • COVID19
  • PFIZERBIONTECH
  • COVID19 (COVID19 (PFIZER-BIONTECH))
  • 1
  • IM
  • LA
  • FC5127

RECVDATE:08 January 2022
CAGE_YR:9
CAGE_MO:
RPT_DATE:
DIED:
DATEDIED:
L_THREAT:
ER_VISIT:
HOSPITAL:
HOSPDAYS:
X_STAY:
DISABLE:
RECOVD:U
LAB_DATA:None at time of this report.
V_ADMINBY:PHM
OTHER_MEDS:OTC multi vitamin
CUR_ILL:none
HISTORY:none
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:2
TODAYS_DATE:08 January 2022
BIRTH_DEFECT:
OFC_VISIT:
ER_ED_VISIT:
ALLERGIES:NKA
V_FUNDBY:
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