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From the 9/10/2021 release of VAERS data:

This is VAERS ID 1408636



Case Details

VAERS ID: 1408636 (history)  
Form: Version 2.0  
Age: 29.0  
Sex: Female  
Location: Foreign  
Vaccinated:2021-06-01
Onset:2021-06-01
   Days after vaccination:0
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: Dizziness, Dyspnoea, Electrocardiogram, Feeling hot, Formication, Head discomfort, Heart rate increased, Vertigo
SMQs:, Anaphylactic reaction (broad), Peripheral neuropathy (broad), Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Arrhythmia related investigations, signs and symptoms (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (broad), Vestibular disorders (narrow), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Lactation decreased; Leg pain; Poor peripheral circulation
Allergies:
Diagnostic Lab Data: Test Name: ECG; Result Unstructured Data: Test Result:Unknown Result
CDC Split Type: GBPFIZER INC2021649513

Write-up: Heart rate high/rising heartbeat/heart was beating extremely fast; Head pressure/feeling pressure and heat in my head.; Formication/feeling vibration in my left hand; Felt faint/seeing black circles; Head spinning; Breath shortness/difficulty with breathing; feeling pressure and heat in my head.; This is a spontaneous report from a contactable consumer (patient) received from the Regulatory Agency. The regulatory authority report number is GB-MHRA-WEBCOVID-202106021521237410-8XNQX, Safety Report Unique Identifier GB-MHRA-ADR 25406474. A 29-year-old female patient (age at vaccination: 29-year-old, not pregnant, not currently breastfeeding) received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number was not reported), via an unspecified route of administration on 01Jun2021 as first dose, single for COVID-19 immunisation. Medical history included poor peripheral circulation, decreased lactation and leg pain. Patient has not had symptoms associated with COVID-19. Not had a COVID-19 test. Patient was not enrolled in clinical trial. The patient had no concomitant medications. On 01Jun2021, the patient experienced rising heartbeat/heart rate high also informed of heart was beating extremely fast, started feeling vibration in the left hand (formication), head was spinning, started feeling pressure (head pressure) and heat in her head, started seeing black circles (felt faint) and had difficulty with breathing (breathshortness). The events were reported as serious medically significant. The patient underwent procedure which included electrocardiogram: unknown result on an unspecified date. The outcome of formication was not recovered; for felt faint, breath shortness was recovered; for other events was recovering. No follow-up attempts are possible, information about batch number cannot be obtained. No further information is expected.


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