National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1329502

History of Changes from the VAERS Wayback Machine

First Appeared on 5/21/2021

VAERS ID: 1329502
VAERS Form:2
Age:31.0
Sex:Female
Location:Minnesota
Vaccinated:2021-05-03
Onset:2021-05-04
Submitted:0000-00-00
Entered:2021-05-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 LA / -

Administered by: Unknown      Purchased by: ??
Symptoms: Chills, Diarrhoea, Lip swelling, Swelling, Periorbital swelling

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': USPFIZER INC2021502448

Write-up: After 12 hours from vaccine I had diarrhea; chill; swelling all my body; puffy both eyes and lips; puffy both eyes and lips; This is a spontaneous report from a contactable consumer (patient). A 31-year-old female patient received bnt162b2 (BNT162B2), dose 1 via an unspecified route of administration, administered in arm left on 03May2021 14:00 (Batch/Lot number was not reported) as single dose at the age of 31-year-old for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. Patient was not pregnant. No other vaccine in four weeks. No COVID prior vaccination. No known allergies. Other medical history: she never had any reaction. On 04May2021 04:00 after 12 hours from vaccine she had diarrhea, chill, swelling all her body, puffy both eyes and lips. Events resulted in Emergency room/department or urgent care and Hospitalization. Therapeutic measures were taken as a result of events. COVID was not tested post vaccination. The outcome of events was recovered with sequelae. Information on the Lot/Batch number has been requested.

New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1329502&WAYBACKHISTORY=ON


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166