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This is VAERS ID 1269684

History of Changes from the VAERS Wayback Machine

First Appeared on 4/30/2021

VAERS ID: 1269684
VAERS Form:2
Age:58.0
Sex:Male
Location:California
Vaccinated:2021-03-26
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8732 / 2 LA / -

Administered by: Public      Purchased by: ??
Symptoms: Computerised tomogram, Culture throat, Dysarthria, Electrocardiogram, Facial paralysis, Hypoaesthesia, Transient ischaemic attack, Magnetic resonance imaging, SARS-CoV-2 test

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Allergic asthma; Seasonal allergy
Allergies:
Diagnostic Lab Data: Test Name: CT; Result Unstructured Data: Test Result:unknown results; Test Date: 20210410; Test Name: NasalSwab; Test Result: Negative ; Test Date: 20210411; Test Name: NasalSwab; Test Result: Negative ; Test Name: EKG; Result Unstructured Data: Test Result:unknown results; Test Name: MRI; Result Unstructured Data: Test Result:unknown results; Test Date: 20210411; Test Name: Covid test name post vaccination; Result Unstructured Data: Test Result:unknown results; Test Date: 20210411; Test Name: Covid test type post vaccination; Result Unstructured Data: Test Result:rapid
CDC 'Split Type': USPFIZER INC2021415596

Write-up: Suspected TIA; Experienced a numbness in right hand, arm, drooping right side of face; Experienced a numbness in right hand, arm, drooping right side of face; slurred speech; This is a spontaneous report from a contactable consumer (patient). A 58-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), first dose in right arm on 05Mar2021 14:30 (Lot: EN6199) and second dose in left arm on 26Mar2021 14:30 (Lot: ER8732); both via an unspecified route of administration (at the age of 58-years-old) as single dose for covid-19 immunisation. The vaccination facility type was a public health department. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within 4 weeks prior to bnt162b2. Medical history included allergy induced asthma and seasonal allergies. The patient''s concomitant medications were not reported. The patient experienced a numbness in right hand, arm, drooping right side of face and slurred speech, it lasted for 1-2 minutes. The patient went to the ER. Suspected TIA. These events started on 11Apr2021 at 10:00. The events resulted in emergency room/department or urgent care. The patient received unspecified treatment for the events. On 10Apr2021, nasal swab was negative. On 11Apr2021, Covid test type post vaccination with unknown results, rapid and nasal swab was negative. It was reported that the patient had MRI, CT, EKG with unknown results on unspecified dates. The outcome of the events was recovering.


Changed on 5/7/2021

VAERS ID: 1269684 Before After
VAERS Form:2
Age:58.0
Sex:Male
Location:California
Vaccinated:2021-03-26
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8732 / 2 LA / -

Administered by: Public      Purchased by: ??
Symptoms: Computerised tomogram, Culture throat, Dysarthria, Electrocardiogram, Facial paralysis, Hypoaesthesia, Transient ischaemic attack, Magnetic resonance imaging, SARS-CoV-2 test

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Allergic asthma; Seasonal allergy
Allergies:
Diagnostic Lab Data: Test Name: CT; Result Unstructured Data: Test Result:unknown results; Test Date: 20210410; Test Name: NasalSwab; Test Result: Negative ; Test Date: 20210411; Test Name: NasalSwab; Test Result: Negative ; Test Name: EKG; Result Unstructured Data: Test Result:unknown results; Test Name: MRI; Result Unstructured Data: Test Result:unknown results; Test Date: 20210411; Test Name: Covid test name post vaccination; Result Unstructured Data: Test Result:unknown results; Test Date: 20210411; Test Name: Covid test type post vaccination; Result Unstructured Data: Test Result:rapid
CDC 'Split Type': USPFIZER INC2021415596

Write-up: Suspected TIA; Experienced a numbness in right hand, arm, drooping right side of face; Experienced a numbness in right hand, arm, drooping right side of face; slurred speech; This is a spontaneous report from a contactable consumer (patient). A 58-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), first dose in right arm on 05Mar2021 14:30 (Lot: EN6199) and second dose in left arm on 26Mar2021 14:30 (Lot: ER8732); both via an unspecified route of administration (at the age of 58-years-old) as single dose for covid-19 immunisation. The vaccination facility type was a public health department. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within 4 weeks prior to bnt162b2. Medical history included allergy induced asthma and seasonal allergies. The patient''s concomitant medications were not reported. The patient experienced a numbness in right hand, arm, drooping right side of face and slurred speech, it lasted for 1-2 minutes. The patient went to the ER. Suspected TIA. These events started on 11Apr2021 at 10:00. The events resulted in emergency room/department or urgent care. The patient received unspecified treatment for the events. On 10Apr2021, nasal swab was negative. On 11Apr2021, Covid test type post vaccination with unknown results, rapid and nasal swab was negative. It was reported that the patient had MRI, CT, EKG with unknown results on unspecified dates. The outcome of the events was recovering.


Changed on 5/14/2021

VAERS ID: 1269684 Before After
VAERS Form:2
Age:58.0
Sex:Male
Location:California
Vaccinated:2021-03-26
Onset:2021-04-11
Submitted:0000-00-00
Entered:2021-04-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8732 / 2 LA / -

Administered by: Public      Purchased by: ??
Symptoms: Computerised tomogram, Culture throat, Dysarthria, Electrocardiogram, Facial paralysis, Hypoaesthesia, Transient ischaemic attack, Magnetic resonance imaging, SARS-CoV-2 test

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Allergic asthma; Seasonal allergy
Allergies:
Diagnostic Lab Data: Test Name: CT; Result Unstructured Data: Test Result:unknown results; Test Date: 20210410; Test Name: NasalSwab; Test Result: Negative ; Test Date: 20210411; Test Name: NasalSwab; Test Result: Negative ; Test Name: EKG; Result Unstructured Data: Test Result:unknown results; Test Name: MRI; Result Unstructured Data: Test Result:unknown results; Test Date: 20210411; Test Name: Covid test name post vaccination; Result Unstructured Data: Test Result:unknown results; Test Date: 20210411; Test Name: Covid test type post vaccination; Result Unstructured Data: Test Result:rapid
CDC 'Split Type': USPFIZER INC2021415596

Write-up: Suspected TIA; Experienced a numbness in right hand, arm, drooping right side of face; Experienced a numbness in right hand, arm, drooping right side of face; slurred speech; This is a spontaneous report from a contactable consumer (patient). A 58-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), first dose in right arm on 05Mar2021 14:30 (Lot: EN6199) and second dose in left arm on 26Mar2021 14:30 (Lot: ER8732); both via an unspecified route of administration (at the age of 58-years-old) as single dose for covid-19 immunisation. The vaccination facility type was a public health department. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within 4 weeks prior to bnt162b2. Medical history included allergy induced asthma and seasonal allergies. The patient''s concomitant medications were not reported. The patient experienced a numbness in right hand, arm, drooping right side of face and slurred speech, it lasted for 1-2 minutes. The patient went to the ER. Suspected TIA. These events started on 11Apr2021 at 10:00. The events resulted in emergency room/department or urgent care. The patient received unspecified treatment for the events. On 10Apr2021, nasal swab was negative. On 11Apr2021, Covid test type post vaccination with unknown results, rapid and nasal swab was negative. It was reported that the patient had MRI, CT, EKG with unknown results on unspecified dates. The outcome of the events was recovering.

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