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

This is VAERS ID 1404114



Case Details

VAERS ID: 1404114 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated:2021-05-30
Onset:2021-06-01
   Days after vaccination:2
Submitted: 0000-00-00
Entered: 2021-06-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK RA / -

Administered by: Other       Purchased by: ?
Symptoms: Epistaxis, Fatigue, Headache, Influenza, Rhinitis allergic
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Hypersensitivity (narrow), Infective pneumonia (broad), Opportunistic infections (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: BECONASE
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Allergic rhinitis
Allergies:
Diagnostic Lab Data:
CDC Split Type: GBPFIZER INC2021640712

Write-up: tiredness; Mild flu; headache; allergic rhinitis; Found a blood on tissue when he cleaned his nose after getting up in the morning/The blood drops came out from right nostril; This is a spontaneous report from a contactable consumer received from the Regulatory Agency (RA). The regulatory authority report number is GB-MHRA-APPCOVID-20210601103534. Safety Report Unique Identifier: GB-MHRA-ADR 25396843. A 37-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in right arm on 30May2021 (Batch/Lot number was not reported) as UNKNOWN, SINGLE DOSE for Covid-19 immunisation. Medical history included allergic rhinitis from an unknown date and unknown if ongoing. Concomitant medication included beclometasone dipropionate (BECONASE) taken for rhinitis allergic, start and stop date were not reported. Patient has ongoing high dose systemic steroids (patient was being treated with high dose systemic steroids). Patient reported he was having headache especially in right side of his head while he got vaccinated in his right arm. Patient had mild flu and tiredness on an unspecified date. But today morning (01Jun2021) patient found a blood on tissue when he cleaned his nose after getting up in the morning. The blood drops came out from right nostril twice today at the same time when he got up in the morning. Patient was using Beconase nasal spray which he used regularly as prescribed by his GP (general practitioner) as he was an allergic rhinitis patient too. The events were reported as medically significant. Outcome of the event found a blood on tissue when he cleaned his nose after getting up in the morning. The blood drops came out from right nostril was not recovered, while for the rest of the events was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.


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