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This is VAERS ID 1411618

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1411618
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2021-05-31
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 EW3143 / 1 - / -

Administered by: Other      Purchased by: ??
Symptoms: Chillblains, 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: LEVOTHYROXINE
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Hypothyroidism; Lactation decreased
Allergies:
Diagnostic Lab Data: Test Name: COVID-19 virus test; Test Result: Negative ; Comments: No - Negative COVID-19 test
CDC 'Split Type': GBPFIZER INC2021657784

Write-up: Chilblains; This is a spontaneous report. A 38-years-old non-pregnant female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Lot number: EW3143), via an unspecified route of administration on 31May2021 as a 1st dose, single dose for COVID-19 immunization. The patient''s medical history included lactation decreased, hypothyroidism from an unknown date and unknown if ongoing. The patient not had symptoms associated with COVID-19. Patient was not enrolled in clinical trial. Patient was not currently breastfeeding. The patient''s concomitant medication included Levothyroxine taken for hypothyroidism from 05Sep1982 to an unspecified stop date. On an unknown date, the patient underwent lab test which included sars-cov-2 test which shown negative results for COVID-19. On 04Jun2021, the patient experienced chilblains as very painful swollen big toe on right foot which looked like a blood blister under the toenail and feels as if toenail was going to burst off. The patient has not tested positive for COVID-19 since having the vaccine. The outcome of the event was not resolved. No follow-up attempts are possible. No further information is expected.

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