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This is VAERS ID 1400696

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1400696
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2021-06-01
Onset:2021-06-01
Submitted:0000-00-00
Entered:2021-06-15
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH UNKNOWN / 1 - / OT

Administered by: Other      Purchased by: ??
Symptoms: Erythema, Loss of consciousness, Pruritus, Swelling, Swollen tongue, Tongue pruritus

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': FIPFIZER INC2021687956

Write-up: Neck swelling; Itching of tongue; Swollen tongue; redness; Transported by ambulance, once unconscious; itching on the neck; This is a spontaneous report from a contactable physician downloaded from the regulatory authority number FI-FIMEA-20213104. A 43 years-old female patient received first dose of bnt162b2 (COMIRNATY, Batch/Lot Number: UNKNOWN), dose 1 via intramuscular on 01Jun2021 as SINGLE dose for covid-19 immunisation. The patient''s medical history and concomitant medications were not reported. On 01Jun2021 the patient experienced Swollen tongue, itching on the neck and redness, itching of tongue and feeling of swelling of neck. Transported by ambulance, once unconscious. The patient was hospitalized due to these events. The outcome of the events was recovering. Follow-up attempts not possible. Information about lot/batch number cannot be obtained. No further information expected.

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