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This is VAERS ID 1408549

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1408549
VAERS Form:2
Age:
Sex:Unknown
Location:Foreign
Vaccinated:2021-05-29
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: Pain in extremity, 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: IBUPROFEN; NAPROXEN; SERTRALINE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Name: COVID-19 virus test; Result Unstructured Data: Test Result:No - Negative COVID-19 test
CDC 'Split Type': GBPFIZER INC2021649131

Write-up: Leg pain; This is a spontaneous report from a contactable consumer received from the Regulatory Authority. The regulatory authority report number is GB-MHRA-WEBCOVID-202106020903473150-IJJSF. A 30-year-old patient of an unspecified gender received BNT162B2 (COVID-19 MRNA VACCINE BIONTECH), via an unspecified route of administration on 29May2021 (Lot number was not reported) as 1ST DOSE, SINGLE DOSE for COVID-19 immunization. The patient''s medical history was not reported. Patient has not had symptoms associated with COVID-19. Patient is not enrolled in clinical trial. Concomitant medication included ibuprofen, naproxen, and sertraline. The patient experienced leg pain (medically significant) on 01Jun2021 with outcome of not recovered. The patient underwent lab tests and procedures which included COVID-19 virus test was no - negative COVID-19 test on an un specified date. Patient has not tested positive for COVID-19 since having the vaccine No follow-up attempts are possible, information about batch/lot number cannot be obtained.

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