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This is VAERS ID 1329490

History of Changes from the VAERS Wayback Machine

First Appeared on 5/21/2021

VAERS ID: 1329490
VAERS Form:2
Age:
Sex:Male
Location:Michigan
Vaccinated:2021-01-25
Onset:2021-05-02
Submitted:0000-00-00
Entered:2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EL3248 / 1 LA / OT

Administered by: Unknown      Purchased by: ??
Symptoms: Vaccination failure, COVID-19, 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)? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210502; Test Name: Nasal Swab; Result Unstructured Data: Test Result:Positive
CDC 'Split Type': USPFIZER INC2021499304

Write-up: Tested positive for COVID; Tested positive for COVID; This is a spontaneous report from a contactable Nurse. A male patient of an unspecified age received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), intramuscular, administered in left arm on 25Jan2021 08:00 (Batch/Lot Number: EL3248) as 1st dose, single, and intramuscular, administered in left arm on 15Feb2021 08:00 (Batch/Lot Number: EL3248) as 2nd dose, single for COVID-19 immunization. Medical history and concomitant medications were not reported. It was unknown if the patient received any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient experienced tested positive for COVID on 02May2021. Symptoms began a couple days prior with congestion and loss sense of taste/smell. The adverse event resulted in doctor or healthcare professional office/clinic visit. Since the vaccination, the patient has been tested for COVID-19 via Nasal Swab on 02May2021 with positive result. The outcome of the event was recovering/resolving.; Sender''s Comments: The reported Tested positive for COVID-19 after immunization is considered vaccination failure of BNT162B2, and the Company cannot completely exclude the possible causality between the reported event and BNT162B2 administration.

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