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This is VAERS ID 1408062

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1408062
VAERS Form:2
Age:
Sex:Male
Location:Foreign
Vaccinated:0000-00-00
Onset:2021-06-01
Submitted:0000-00-00
Entered:2021-06-17
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Other      Purchased by: ??
Symptoms: Chills, Drug ineffective, Malaise, Pyrexia, COVID-19, 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210609; Test Name: COVID test; Result Unstructured Data: Test Result:Positive
CDC 'Split Type': COPFIZER INC2021677951

Write-up: A COVID test was performed and was positive; A COVID test was performed and was positive; Very sick; Fever/fever went up and down; Chills; This is a spontaneous report from a contactable consumer (the patient) via the Medical information team. A 69-years-old male patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on 03Jun2021 as a single dose and first dose via an unspecified route of administration on an unspecified date (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot number was not reported) as a single dose, both for COVID-19 immunisation. The patient''s medical history and concomitant medications were not reported. The patient reported adverse events after the application of the second dose of the COVID-19 Pfizer vaccine, patient referred that he did not have any situation after the first dose. It was reported that "on the next days (Friday 04Jun2021 and Saturday 05Jun2021) he had fever, patient used for the symptoms acetaminophen and Advil, as well as "little lemon" (as reported). The patient informed that he was going to be hospitalized, but he said no, because the fever went up and down, and on an unspecified date in Jun2021, had chills. The patient referred that the night before the time of reporting, 08Jun2021 he was very sick and on the day of reporting, 09Jun2021 in the morning, approximately at 05:00 a COVID test was performed and was positive. The patient asked why this was happened. On 09Jun2021, the patient underwent lab tests and procedures which included COVID test: positive. The event fever was treated with acetaminophen and Advil, as well as "little lemon" (as reported). The outcome of events was unknown. Information on the lot/batch number has been requested.

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