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This is VAERS ID 1408679

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1408679
VAERS Form:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other      Purchased by: ??
Symptoms: Fatigue, Pain, Pyrexia, Vomiting

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; Suspected COVID-19; Ventricular ectopics
Diagnostic Lab Data:
CDC 'Split Type': GBPFIZER INC2021649296

Write-up: Ache; Tiredness; Vomiting; Feverish; This is a spontaneous report from a contactable consumer received from the Regulatory authority report number is [GB-MHRA-WEBCOVID-202106021641512010-L8H5Q], Safety Report Unique Identifier [GB-MHRA-ADR 25406872]. A 30-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 01Jun2021 (Lot/batch number and expiry date were not reported) as 1st dose, single for COVID-19 immunisation. Medical history included lactation decreased from an unknown date and unknown if ongoing, Suspected COVID-19 from 17Mar2020 to 28Mar2020 and ventricular ectopics from an unknown date and unknown if ongoing. The patient''s concomitant medications were not reported. The patient experienced vomiting, feverish and tiredness on 01Jun2021; ache on 02Jun2021. The outcome of the event ''vomiting'' was recovered on 02Jun2021 and outcome of the other events was not recovered. Additional information: Not had a COVID-19 test. Patient was not enrolled in clinical trial. Patient was not pregnant. Patient was not currently breastfeeding. 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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