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From the 1/7/2022 release of VAERS data:

This is VAERS ID 903001

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Case Details

VAERS ID: 903001 (history)  
Form: Version 2.0  
Age: 62.0  
Sex: Male  
Location: Delaware  
Vaccinated:2020-12-15
Onset:2020-12-16
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2020-12-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EH9899 / 1 LA / IM

Administered by: Work       Purchased by: ?
Symptoms: Abdominal pain, Bowel movement irregularity, Chills, Defaecation urgency, Exercise tolerance decreased, Fatigue
SMQs:, Acute pancreatitis (broad), Retroperitoneal fibrosis (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Noninfectious diarrhoea (narrow)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: Alopine 10mg 1xday, Lotharton 100mg 1x/day
Current Illness: N/A
Preexisting Conditions: Hypertension
Allergies: N/A
Diagnostic Lab Data: N/A
CDC Split Type: vsafe

Write-up: 12/15/2020 615 received vaccine 2pm belly pains, relief ''not like normal bowel movement'', ''urge to go'' 5 belly pain, relief self''not like normal bowel movement'', ''urge to go'' 8-10 pm body chills, covered with 3+ blankets 10 pm body chills subsided 12/16/2020 fatigue; not exercise; 5miles per day (only able to walk 2 miles) Flu vaccine; ''pretty sure it was 09/2020''; Unknown brand


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