Your Health. Your Family. Your Choice.
|History of Changes from the VAERS Wayback Machine|
|Vaccination / Manufacturer||Lot / Dose||Site / Route|
|COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH||EW3143 / 1||- / -|
Administered by: Other Purchased by: ??
Symptoms: Blood pressure systolic increased, Head injury, Heart rate, Oxygen saturation, Respiratory rate, Syncope, Joint injury, Blood pressure measurement
Life Threatening? No
Birth Defect? No
Permanent Disability? No
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Preexisting Conditions: Medical History/Concurrent Conditions: Faint (Previous faint when receiving vaccines as a young man - had not advised staff despite); Comments: Previous faint when recieving vaccines as a young man - had not advised staff despite being asked. Patient has not had symptoms associated with COVID-19 Not had a COVID-19 test Patient is not enrolled in clinical trial
Diagnostic Lab Data: Test Name: blood pressure; Result Unstructured Data: Test Result:139/81 mmHg; Test Name: pulse; Result Unstructured Data: Test Result:77 bpm; Test Name: SpO2 on air; Test Result: 99 %; Test Name: respiration; Result Unstructured Data: Test Result:12 rpm
CDC 'Split Type': GBPFIZER INC2021640345
Write-up: blood pressure of 139/81 mmHg; Syncope; hit head and right knee; hit head and right knee; This is a spontaneous report from a contactable healthcare professional received from the regulatory authority report number is GB-MHRA-WEBCOVID-202106011927513670-G9DET, Safety report unique identifier GB-MHRA-ADR 25400941. A 33-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number: EW3143), via an unspecified route of administration on 01Jun2021 (at the age of 33 years old) as 1st dose, single dose for COVID-19 immunization. Medical history included syncope from an unknown date and unknown if ongoing. The patient had previous faint when receiving vaccines as a young man - had not advised staff despite. Patient has not had symptoms associated with COVID-19 and not had a COVID-19 test. Patient is not enrolled in clinical trial. The patient''s concomitant medications were not reported. The patient experienced syncope, hit head and right knee on 01Jun2021 and blood pressure of 139/81 mmHg on an unspecified date. It was reported that a few moments after sitting in waiting area post vaccination, the patient fainted. He hit head and right knee. The reporter assessed all events as non-serious. The patient underwent lab tests and procedures which included blood pressure: 139/81 mmHg, pulse (P): 77 bpm, SpO2 on air: 99 %, respiration (R): 12 rpm, all on unspecified dates. The outcome of the event syncope was recovered on 01Jun2021 while the outcome of all other events was unknown. No follow-up attempts are possible. No further information is expected.
Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166