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VAERS Report 2157444

Case Report Section

Vaer Report Details

Age: 30 years old

Gender: Female

State: Ohio

Patient Died?
No
Vaccine information

Name: COVID19 (COVID19 (PFIZER-BIONTECH))

Type: Coronavirus 2019 vaccine

Manufacturer: PFIZER

Lot: fk9729


Date report was received
2022-03-04
Date form completed
Date Vaccinated
2022-02-17
Date of Onset
1
Number of days (onset date – vaccination date)
1
Adverse Event Description

edc 6/18/22 received vaccine 2/17/22; on 2/18/22 began c/o migraine with nausea/vomiting lasting one day; on 2/19/22 began c/o right shoulder pain radiating to the back lasting one week ; was followed by ob and pcp

Lab Data
na
List of symptoms
back pain vomiting nausea arthralgia pain migraine maternal exposure during pregnancy
Patient Died?
No
Date Died
NA
Birth defect
false
Vaccine Administered By:
Workplace clinic
Vaccine Purchased By:
Unknown
Patient visit ER?
No
Patient Hospitalized?
No
Stay in hospital
No
Days in hospital
Unspecified
Permanent disability?
No
Allergies:
na
Current Illness
na