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This is VAERS ID 1391057

History of Changes from the VAERS Wayback Machine

First Appeared on 6/11/2021

VAERS ID: 1391057
VAERS Form:2
Age:
Sex:Male
Location:Unknown
Vaccinated:2021-06-03
Onset:2021-06-04
Submitted:0000-00-00
Entered:2021-06-11
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Chills, Dysgeusia, Eating disorder, Headache, Nasopharyngitis, Tremor, Vomiting

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 INC2021658761

Write-up: Headache; shakes; shivers/Chills; throwing up/vomiting; quit eating things; Bad taste in his mouth; Cold; This is a spontaneous report from a contactable consumer or other non health professional (Parent) reported for a patient(son). A male patient of an unspecified age received second dose of bnt162b2 (BNT162B2, Formulation: Solution for injection, Lot number: Unknown) via an unspecified route of administration on 03Jun2021 as 2ND DOSE, SINGLE DOSE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. On 04Jun2021, the patient experienced headache, shakes and shivers/chills; throwing up/vomiting; quit eating things; bad taste in his mouth and cold. Reporter stated that he had headache at school the next day, he had the shot yesterday. Today real bad headache and stuff at school today. He came home and started having shakes and shivers. Then he started vomiting, throwing up, quit eating things. Had bad taste in his mouth. (distorted voice and unclear) but then he had problems like cold, chills, shakes in it. Reporter wants to know why patient was having chills, shakes and he was throwing up. The outcome of all events was unknown. Information on the lot/batch number has been requested.

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