VAERS ID: 1813246

AGE: 16| SEX: F|STATE: WI (United States)

Description

8/13/2021- Date of 1st vaccination patient was already on menstrual cycle-no abnormal issues (heavy bleeding) during the 1st dose. Issues (heavy bleeding) noticed on or during 2nd dose, during menstrual. 9/3/2021- Date of 2nd vaccination; patient had her menstrual starting the 1st week of September; which was abnormal, o include heavy bleeding. After abnormal heavy bleeding cycle, patients menstrual cycle would stop for 2-3 days and start back heavy again after the 2-3 days. At this point; patient noticed extreme heavy bleeding. Patient being a teenager dealt with it thinking it was just a change that would go away; until she started having headaches, shortness of breath, tiredness, dizziness, and chest pains as well as the heavy menstrual cycle. Patient notified parents when dizziness and chest pains worsened. Parents scheduled medical appoint on 8 October 2021, and found out that day from the doctor that her hemoglobin (blood) levels were extremely low; causing for her to have a same day blood transfusion. Hospitalized 8 October 2021 @ 1pm for a blood transfusion, and released at 11:30 pm. Patient received 2 units of blood while hospitalized; as well as, ferrous sulfate 325 (65 FE) MG tablet, and norgestimate-ethinyl estradiol 0.25-35 MG-MCG tablet.

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Symptoms

Dizziness, Headache, Dyspnoea, Chest pain, Menstrual disorder, Fatigue, Haemoglobin decreased, Menstruation irregular, Transfusion, Heavy menstrual bleeding

Vaccines

VAX DATE: 08-08-2021| ONSET DATE: 09-04-2021| DAYS TO ONSET: 27
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH FA7485 SYR RA
COVID19 (COVID19 (PFIZER-BIONTECH)) 2 COVID19 PFIZER\BIONTECH FF1588 SYR LA

RECVDATE:10-23-2021
RPT_DATE:
CAGE_YR:16
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:Y
ER_VISIT:
HOSPITAL:Y
HOSPDAYS:1
X_STAY:U
DISABLE:U
RECOVD:U
LAB_DATA:
V_ADMINBY:PVT
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:
TODAYS_DATE:10-23-2021
BIRTH_DEFECT:U
OFC_VISIT:Y
ER_ED_VISIT:U
ALLERGIES:No known allergies
V_FUNDBY:

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