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This is VAERS ID 1404316

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1404316
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2021-05-21
Onset:2021-06-01
Submitted:0000-00-00
Entered:2021-06-16
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW4109 / 1 - / -

Administered by: Other      Purchased by: ??
Symptoms: Dizziness, Nausea, Pyrexia, SARS-CoV-2 test

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: CITALOPRAM
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Depression; Lactation decreased
Allergies:
Diagnostic Lab Data: Test Name: COVID-19 virus test; Test Result: Negative; Comments: No - Negative COVID-19 test
CDC 'Split Type': GBPFIZER INC2021640467

Write-up: Dizziness; High temperature; Nausea; This is a spontaneous report from a contactable consumer received from the Regulatory Authority. The regulatory authority report number is GB-MHRA-WEBCOVID-202106011902532690-5YEYR, Safety Report Unique Identifier GB-MHRA-ADR 25400670 . A 35-year-old female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 21May2021 (Lot Number: EW4109) as first dose, single for COVID-19 immunization. Medical history included suppressed lactation and depression. from an unknown date. Patient has not had symptoms associated with COVID-19; Patient is not enrolled in clinical trial. Concomitant medication included citalopram taken for depression, start and stop date were not reported. On 01Jun2021, the patient experienced dizziness, high temperature and nausea. The outcome of the events was not recovered. The events were considered medically significant. The patient underwent lab tests and procedures which included No - Negative COVID-19 test. Patient has not tested positive for COVID-19 since having the vaccine. No follow-up attempts are possible. No further information is expected.

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