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This is VAERS ID 1332764

History of Changes from the VAERS Wayback Machine

First Appeared on 5/21/2021

VAERS ID: 1332764
VAERS Form:2
Age:
Sex:Female
Location:Illinois
Vaccinated:2021-04-13
Onset:2021-05-04
Submitted:0000-00-00
Entered:2021-05-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EWD162 / 1 LA / -

Administered by: Unknown      Purchased by: ??
Symptoms: Fatigue, Gait inability, 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? Yes, days: 5     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Knee replacement; Liver transplant (Verbatim:Liver transplant recipient)
Allergies:
Diagnostic Lab Data: Test Date: 20210505; Test Name: COVID-19; Result Unstructured Data: Test Result:Unknown result
CDC 'Split Type': USPFIZER INC2021510131

Write-up: Tired; Could not walk; This is a spontaneous report from a contactable consumer (patient). A 70-year-old female patient (not pregnant) received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) 1st dose (lot number EWD162 ) on 13Apr2021 13:00, 2nd dose (lot number EWD150) on 04May2021 12:15, both via an unknown route in left arm for Covid-19 immunization. Medical history included liver transplant recipient, and knee replacement, allergies with torvastatin (LIPITOR) and simvastatin. Concomitant drug was not provided. Patient received other medications within 2 weeks of vaccination. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Serious adverse event was reported as tired and could not walk with onset date of 04May2021 21:00 and seriousness criterion of hospitalizing of 5 days. The clinical course was reported as follows: In the evening of the same date as vaccinated, the patient became tired and could not walk. She was transported to the Emergency Room of Hospital for treatment and was admitted for further testing, observation and treatment; she remained in that hospital. Prior to vaccination, the patient was not diagnosed with COVID-19. Nasal Swab on 5May2021 result was unknown. Outcome of the events was resolving. Information on lot/batch number has been requested.

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