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This is VAERS ID 1408314

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1408314
VAERS Form:2
Age:33.0
Sex:Female
Location:Foreign
Vaccinated:2021-06-01
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 - / UNK - / -

Administered by: Other      Purchased by: ??
Symptoms: Disturbance in attention, Feeling abnormal, Headache, Pain in extremity

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: Medical History/Concurrent Conditions: Lactation decreased
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': GBPFIZER INC2021640697

Write-up: Arm very painful, varying between strong throbbing and sharp pains; Headache, generally very fuzzy; Headache; Concentration loss; This is a spontaneous report from a contactable consumer received from the regulatory authority, report number is GB-MHRA-APPCOVID-20210601220523, Safety Report Unique Identifier GB-MHRA-ADR 25401756. A 33-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 01Jun2021 (Lot number was not reported) as single dose for covid-19 immunisation. Medical history included lactation decreased. She has not had symptoms associated with COVID-19, not had a COVID-19 test, not enrolled in clinical trial, not pregnant, and not currently breastfeeding. The patient''s concomitant medications were not reported. The patient experienced arm very painful on an unspecified date; headache and concentration loss on 01Jun2021. Case narrative: Headache, generally very fuzzy and unable to concentrate. Arm very painful, varying between strong throbbing and sharp pains. No relevant investigations or tests conducted. The outcome of headache and concentration loss was not recovered while outcome of other events was unknown. Case was reported as medically significant by health authority. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

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