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From the 7/16/2021 release of VAERS data:

This is VAERS ID 1318491



Case Details

VAERS ID: 1318491 (history)  
Form: Version 2.0  
Age: 17.0  
Sex: Male  
Location: Missouri  
Vaccinated:2021-04-04
Onset:2021-04-19
   Days after vaccination:15
Submitted: 0000-00-00
Entered: 2021-05-14
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 RA / SYR

Administered by: Pharmacy       Purchased by: ?
Symptoms: Abdominal discomfort, Abdominal pain upper, Blood test, Fatigue
SMQs:, Acute pancreatitis (broad), Gastrointestinal perforation, ulcer, haemorrhage, obstruction non-specific findings/procedures (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Tylenol and Claritin, if needed.
Current Illness: Depression, not yet diagnosed.
Preexisting Conditions: History of Asthma. History of Autism.
Allergies: No known allergies.
Diagnostic Lab Data: Bloodwork and he has been referred to a gastroenterologist.
CDC Split Type:

Write-up: He has developed constant, chronic fatigue, upset and painful stomach lasting for about a month. This started 2 weeks after his second dose. We aren?t sure if it?s related, but just in case we want to report it. The cause of his symptoms is still unknown at this time.


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