VAERS ID: 1379484

AGE: 0.08| SEX: F|STATE: FR

Description

Symptoms

Body temperature, Myalgia, Product administered to patient of inappropriate age, Pyrexia, SARS-CoV-2 test, Vaginal haemorrhage

Vaccines

VAX DATE: 05-20-2021| ONSET DATE: 05-01-2021| DAYS TO ONSET:
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH Ew4109 Unknown Unknown

RECVDATE:06-07-2021
RPT_DATE:
CAGE_YR:
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:U
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:
V_ADMINBY:OTH
OTHER_MEDS:
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:
FORM_VERS:2
TODAYS_DATE:06-05-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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