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From the 9/17/2021 release of VAERS data:

This is VAERS ID 1408643



Case Details

VAERS ID: 1408643 (history)  
Form: Version 2.0  
Age:   
Sex: Female  
Location: Foreign  
Vaccinated:2021-05-22
Onset:2021-06-01
   Days after vaccination:10
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: Asthenia, Dehydration, Fatigue, Myalgia, SARS-CoV-2 test
SMQs:, Rhabdomyolysis/myopathy (broad), Hyperglycaemia/new onset diabetes mellitus (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), Dehydration (narrow), COVID-19 (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: Clinical trial participant; Lactation decreased
Allergies:
Diagnostic Lab Data: Test Date: 20210524; Test Name: COVID-19 virus test; Result Unstructured Data: Test Result:No - Negative COVID-19 test
CDC Split Type: GBPFIZER INC2021649498

Write-up: dehydrated arm; arm still sore; tired / drained; Weakness; This is a spontaneous report from a contactable consumer or other non hcp received from the regulatory authority report number is GB-MHRA-WEBCOVID-202106021544102680-RAVB9. Safety Report Unique Identifier GB-MHRA-ADR 25406467. A 28-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration on 22May2021 (Lot number was not reported) as single dose for covid-19 immunisation. Medical history included suppressed lactation, clinical trial participant. Patient has not had symptoms associated with COVID-19. Patient is not pregnant, Patient is not currently breastfeeding. The patient''s concomitant medications were not reported. The patient experienced dehydrated arm (medically significant) on an unspecified date with outcome of recovering, weakness (medically significant) on 01Jun2021 with outcome of not recovered, arm still sore (medically significant) on an unspecified date with outcome of unknown, tired / drained (medically significant) on an unspecified date with outcome of unknown. The patient underwent lab tests and procedures which included sars-cov-2 test: negative on 24May2021 No - Negative COVID-19 test. Patient has not tested positive for COVID-19 since having the vaccine. Patient has not tested positive for COVID-19 since having the vaccine. The clinical course was reported as follows: feeling weak tired / drained dehydrated arm still sore (nothing else has changed out of routine) No follow-up attempts are possible; information about lot/batch number cannot be obtained. .


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