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This is VAERS ID 1409100

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1409100
VAERS Form:2
Age:45.0
Sex:Female
Location:Foreign
Vaccinated:2021-06-01
Onset:2021-06-01
Submitted:0000-00-00
Entered:2021-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FA7338 / 1 - / OT

Administered by: Other      Purchased by: ??
Symptoms: Anxiety, Asthma, Body temperature, Cough, Electrocardiogram, Heart rate, Pollakiuria, Tachycardia, Auscultation

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Asthma (under treatment); Cough
Allergies:
Diagnostic Lab Data: Test Date: 20210601; Test Name: body temperature; Result Unstructured Data: Test Result:36.6 Centigrade; Comments: before vaccination; Test Date: 20210601; Test Name: ECG; Result Unstructured Data: Test Result:sinus tachycardia; Test Date: 20210601; Test Name: PR; Result Unstructured Data: Test Result:80; Test Date: 20210601; Test Name: PR; Result Unstructured Data: Test Result:130; Test Date: 20210601; Test Name: auscultation; Result Unstructured Data: Test Result:No abnormalities
CDC 'Split Type': JPPFIZER INC2021646017

Write-up: Asthmatic attack; Tachycardia; Cough worsened; Anxiety; FREQUENCY URINARY; This is a spontaneous report from the a contactable other-hcp received from the Regulatory Authority. The Regulatory authority report number is v21111034. The patient was a 45-year and 9-month female. Body temperature before the vaccinations was 36.6 centigrade. Patient''s history according to the vaccine screening questionnaire included asthma, under treatment, and cough symptoms. Concomitant medications were not reported. On 01Jun2021 at 10:45 (the day of vaccination), the patient received the first single dose of bnt162b2(COMIRNATY Intramuscular injection, Lot number: FA7338, expiration date:30Sep2021) at the age of 45-year-old for COVID-19 immunisation. On 01Jun2021 at 10:45 (the day of vaccination), the patient experienced Asthmatic attack and Tachycardia (as reported). Clinical course of the event was reported as follows: Cough worsened after vaccination, inhalation of MEPTIN. Cough disappeared, but palpitations consciously, PR130. No abnormalities on auscultation, no skin abnormalities, ECG sinus tachycardia. After resting for 30 minutes, the symptoms disappeared and PR80 returned home. The reporter classified the event as non-serious and assessed the causality between the event and the vaccines as unassessable. Other possible cause of the event such as any other diseases was anxiety. The reporter concluded as follows: Anxiety and FREQUENCY URINARY caused by vaccination. On 01Jun2021 (the day of vaccination), the outcome of event was recovered.

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