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This is VAERS ID 1255356

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1255356
VAERS Form:2
Age:66.0
Sex:Male
Location:Pennsylvania
Vaccinated:2021-04-09
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP7533 / 2 RA / -

Administered by: Unknown      Purchased by: ??
Symptoms: Conjunctival haemorrhage

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: LIPITOR [ATORVASTATIN]
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Cataract operation; High cholesterol
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': USPFIZER INC2021399892

Write-up: Right eye, subconjunctival hemorrhage; This is a spontaneous report from a contactable consumer (patient). A 66-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in Arm Right on 09Apr2021 11:00 (Lot Number: EP7533) as single dose (at the age of 66-years-old) for covid-19 immunisation. Medical history included high cholesterol, cataract surgery. Patient had no known allergies. Concomitant medications in two weeks prior to the vaccination included atorvastatin (LIPITOR). Patient did not receive other vaccine in four weeks prior to the COVID vaccine. Patient had no COVID prior vaccination. Patient was not tested for Covid post vaccination. The patient had previously received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, via an unspecified route of administration, administered in Left arm (Lot number: EN6206) on 17Mar2021 02:45 PM (at the age of 66-years-old) for COVID-19 immunization. The patient experienced right eye, subconjunctival hemorrhage on 11Apr2021 at 12:00. No treatment was required. Patient was recovering from the event.


Changed on 5/7/2021

VAERS ID: 1255356 Before After
VAERS Form:2
Age:66.0
Sex:Male
Location:Pennsylvania
Vaccinated:2021-04-09
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP7533 / 2 RA / -

Administered by: Unknown      Purchased by: ??
Symptoms: Conjunctival haemorrhage

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: LIPITOR [ATORVASTATIN]
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Cataract operation; High cholesterol
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': USPFIZER INC2021399892

Write-up: Right eye, subconjunctival hemorrhage; This is a spontaneous report from a contactable consumer (patient). A 66-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in Arm Right on 09Apr2021 11:00 (Lot Number: EP7533) as single dose (at the age of 66-years-old) for covid-19 immunisation. Medical history included high cholesterol, cataract surgery. Patient had no known allergies. Concomitant medications in two weeks prior to the vaccination included atorvastatin (LIPITOR). Patient did not receive other vaccine in four weeks prior to the COVID vaccine. Patient had no COVID prior vaccination. Patient was not tested for Covid post vaccination. The patient had previously received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, via an unspecified route of administration, administered in Left arm (Lot number: EN6206) on 17Mar2021 02:45 PM (at the age of 66-years-old) for COVID-19 immunization. The patient experienced right eye, subconjunctival hemorrhage on 11Apr2021 at 12:00. No treatment was required. Patient was recovering from the event.


Changed on 5/14/2021

VAERS ID: 1255356 Before After
VAERS Form:2
Age:66.0
Sex:Male
Location:Pennsylvania
Vaccinated:2021-04-09
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-25
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EP7533 / 2 RA / -

Administered by: Unknown      Purchased by: ??
Symptoms: Conjunctival haemorrhage

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? No
Previous Vaccinations:
Other Medications: LIPITOR [ATORVASTATIN]
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Cataract operation; High cholesterol
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': USPFIZER INC2021399892

Write-up: Right eye, subconjunctival hemorrhage; This is a spontaneous report from a contactable consumer (patient). A 66-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in Arm Right on 09Apr2021 11:00 (Lot Number: EP7533) as single dose (at the age of 66-years-old) for covid-19 immunisation. Medical history included high cholesterol, cataract surgery. Patient had no known allergies. Concomitant medications in two weeks prior to the vaccination included atorvastatin (LIPITOR). Patient did not receive other vaccine in four weeks prior to the COVID vaccine. Patient had no COVID prior vaccination. Patient was not tested for Covid post vaccination. The patient had previously received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, via an unspecified route of administration, administered in Left arm (Lot number: EN6206) on 17Mar2021 02:45 PM (at the age of 66-years-old) for COVID-19 immunization. The patient experienced right eye, subconjunctival hemorrhage on 11Apr2021 at 12:00. No treatment was required. Patient was recovering from the event.

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