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This is VAERS ID 1411611

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1411611
VAERS Form:2
Age:
Sex:Male
Location:Foreign
Vaccinated:2021-06-02
Onset:2021-06-04
Submitted:0000-00-00
Entered:2021-06-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Other      Purchased by: ??
Symptoms: Lymphadenopathy, 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:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Suspected COVID-19
Allergies:
Diagnostic Lab Data: Test Date: 20210326; Test Name: COVID-19 virus test; Test Result: Positive ; Test Date: 202106; Test Name: COVID-19 virus test; Result Unstructured Data: Test Result:not tested positive; Comments: since having the vaccine
CDC 'Split Type': GBPFIZER INC2021655437

Write-up: Swollen lymph nodes; This is a spontaneous report from a contactable consumer received from the regulatory authority (RA). The regulatory authority report number is GB-MHRA-WEBCOVID-202106040634485900-SEXV2, Safety Report Unique Identifier GB-MHRA-ADR 25417918. A 38-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 02Jun2021 (Lot number and expiry date were not reported) as single dose for COVID-19 immunisation. Medical history included suspected COVID-19 from 25Mar2021 to 04Apr2021. Patient is not enrolled in clinical trial. The patient''s concomitant medications were not reported. The patient experienced swollen lymph nodes (medically significant) on 04Jun2021 with outcome of not recovered. The patient had positive COVID-19 virus test on 26Mar2021. Patient has not tested positive for COVID-19 in Jun2021 since having the vaccine. No follow-up attempts are possible; information about the lot number cannot be obtained. No further information is expected.

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