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

This is VAERS ID 1400551



Case Details

VAERS ID: 1400551 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated:2021-05-18
Onset:2021-06-01
   Days after vaccination:14
Submitted: 0000-00-00
Entered: 2021-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Other       Purchased by: ?
Symptoms: Thrombophlebitis superficial
SMQs:, Embolic and thrombotic events, venous (narrow)

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: DEPFIZER INC2021647969

Write-up: superficial vein thrombosis; This is a spontaneous report from a non-contactable consumer (patient). This is a report based on information received by Pfizer from Biontech Se (manufacturer control number 60777), license party for BNT162B2. A male patient of an unspecified age received the first dose of bnt162b2 (COMIRNATY), via an unspecified route of administration on 18May2021 (Batch/Lot number was not reported) as single dose for covid-19 immunisation. The patient medical history was not reported. The patient''s concomitant medications were not reported. The patient experienced superficial vein thrombosis on 01Jun2021. As reported: 2 weeks ago patient received BNT vaccination after that, superficial venetrombosis. Side effect: doctor reported 2 weeks ago exactly. The gentleman was vaccinated 2 weeks ago with the 1st dose of the BioNTech vaccine. He has developed superficial vein thrombosis. He still has it at the moment. It is not serious, he was treated by the doctor. But the doctor did not know if he could get the 2nd dose. That''s why he called us. The doctor has probably already reported the side effect. The outcome was not recovered No follow-up attempts are possible, information about lot/batch number cannot be obtained.


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