National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 9/10/2021 release of VAERS data:

This is VAERS ID 1376287



Case Details

VAERS ID: 1376287 (history)  
Form: Version 2.0  
Age: 45.0  
Sex: Male  
Location: Texas  
Vaccinated:2021-05-18
Onset:2021-06-01
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-06-05
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8736 / 2 RA / -

Administered by: Unknown       Purchased by: ?
Symptoms: Body temperature, Headache, Pyrexia
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: ASPIRIN (E.C.); KLONOPIN
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210601; Test Name: temperature; Result Unstructured Data: Test Result:38; Comments: at night 22:00, 38 degrees celsius
CDC Split Type: USPFIZER INC2021640870

Write-up: headache; fever; This is a spontaneous report from a contactable consumer (patient) from Pfizer. A 45-year-old male patient received BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: solution for injection, Lot Number: ER8736, Expiration date: Unknown), via an unspecified route in the Arm right on 18May2021 as 2nd dose, single for COVID-19 immunisation. The patient''s medical history was not reported. Concomitant medications included ongoing acetylsalicylic acid (ASPIRIN (E.C.)) at unknown dose daily for having some troubles with his heart (Has been taking this medication for about one month) and clonazepam (KLONOPIN), 7.5mg daily dose for mental care (Has been taking this medication for about one month). Historical vaccine included the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: solution for injection, Lot Number: ER8736, Expiration date: Unknown) via an unspecified route in the Arm right on 21Apr2021 as, single for COVID-19 immunisation. On 01Jun2021, the patient experienced headache and fever. The patient confirmed he was calling in regard to Pfizer covid-19 vaccine. The patient received his second dose of the vaccine on 18May2021. However, last night he experienced a lot of headaches and fever. The patient asked that if it was normal that he received second dose of Pfizer Covid Vaccine 2 weeks ago and he started having a headache and a fever. The patient reported his headache has completely went away, but stated it was kind of hard yesterday. He clarified the headache hit him hard. The patient confirmed the fever also started last night, and it also went away. The patient clarified the headache and fever began last night around 18:00 or 19:00, stated he checked temperature at 22:00 last night and it was 38 degrees Celsius and he took the temperature with the one they point at the head with the light. Stated he was unsure of the time the symptoms went way, just when he woke up. He did not do anything for the headache or fever. He just wanted to know if this was normal. Outcome of the events was reported as resolved on an unspecified date in Jun2021. Information on Lot/Batch number was available. Additional information has been requested.


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1376287


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