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VAERS Report 2157443

Case Report Section

Vaer Report Details

Age: 33 years old

Gender: Female

State: Michigan

Patient Died?
No
Vaccine information

Name: COVID19 (COVID19 (PFIZER-BIONTECH))

Type: Coronavirus 2019 vaccine

Manufacturer: PFIZER

Lot: er2613


Date report was received
2022-03-04
Date form completed
Date Vaccinated
2021-05-10
Date of Onset
278
Number of days (onset date – vaccination date)
278
Adverse Event Description

atient is fully vaccinated and boosted. postive covid test at ed visit on 2/12/2022. 34-year-old female, denies any chronic medical problems presented to the ed with 10 days of uri symptoms. complains of a productive cough with discolored sputum, chest pressure, as well as periumbilical and lower abdominal pain. the lower abdominal pain has been going on for weeks to months. currently has ob/gyn follow-up for this. had a temperature today, of 99.8. has not taken any medications prior to arrival. no headache vision changes, no shortness of breath.ekg reviewed and interpreted by myself, normal sinus rhythm, normal axis, no ischemic findings. chest x-ray is clear. blood work is within normal limits. no medications given. discharged home

Lab Data
na
List of symptoms
upper respiratory tract infection chest discomfort productive cough abdominal pain abdominal pain lower chest x-ray normal electrocardiogram normal body temperature blood test normal sputum discoloured
Patient Died?
No
Date Died
NA
Birth defect
false
Vaccine Administered By:
Private
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