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This is VAERS ID 1384787

History of Changes from the VAERS Wayback Machine

First Appeared on 6/11/2021

VAERS ID: 1384787
VAERS Form:2
Age:
Sex:Male
Location:Unknown
Vaccinated:2021-06-03
Onset:2021-06-04
Submitted:0000-00-00
Entered:2021-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Fatigue, Headache, Myalgia

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:
CDC 'Split Type': USPFIZER INC2021658893

Write-up: Fatigue; Calf muscle pain; Bad headache; This is a spontaneous report from a non-contactable pharmacist reported for a 14-years-old male patient. A 14-years-old male patient received second dose of bnt162b2 (BNT162B2, Pfizer covid vaccine), via an unspecified route of administration on 03Jun2021 (Batch/Lot number was not reported) as single dose for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient received first dose of bnt162b2 (BNT162B2, Pfizer covid vaccine), via an unspecified route of administration on an unknown date (Batch/Lot number was not reported) as single dose for covid-19 immunisation. On 04Jun2021, after second dose of vaccine administration, the patient experienced fatigue, calf muscle pain and bad headache. The outcome of the events fatigue, calf muscle pain and bad headache was unknown. No follow-up attempts are possible and information about lot/batch number cannot be obtained.

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