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

This is VAERS ID 1384797



Case Details

VAERS ID: 1384797 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Nebraska  
Vaccinated:2021-06-04
Onset:2021-06-04
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-09
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH ER8736 / 2 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Pain in extremity
SMQs:, Tendinopathies and ligament disorders (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021659081

Write-up: pain in his feet and pain in his hand; This is a spontaneous report from a contactable consumer (patient''s wife) from a Pfizer-sponsored program. A male patient of an unspecified age received BNT162B2(PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection; Lot Number: ER8736, Expiration date: unknown), dose 2 via an unspecified route of administration on 04Jun2021 as 2nd dose, single dose COVID-19 immunization. patient previously took first dose of BNT162B2(PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection Lot Number: EW0167, Expiration date: unknown) via an unspecified route of administration on an unspecified date as first dose single dose for COVID-19 immunization. The patient medical history and concomitant medications were not reported. On 04Jun2021 after second vaccine, the patient experienced pain in his feet and pain in his hand. Patient is still experiencing a pain in his feet and pain in his hand. The outcome of event was unknown.


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