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This is VAERS ID 1411887

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1411887
VAERS Form:2
Age:42.0
Sex:Female
Location:Foreign
Vaccinated:2021-06-04
Onset:2021-06-04
Submitted:0000-00-00
Entered:2021-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EY0779 / 1 LA / OT

Administered by: Other      Purchased by: ??
Symptoms: Anaphylactic reaction, Blood pressure increased, Body temperature, Dizziness, Feeling cold, Heart rate, Hypoaesthesia, Oxygen saturation, Palpitations, Conjunctival hyperaemia, Oropharyngeal discomfort, Auscultation, Blood pressure measurement

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: SYMBICORT; ALLEGRA
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Asthma (drugs used included Steroid inhalation drugs, symbicort and allegra, etc); Dermatitis atopic
Allergies:
Diagnostic Lab Data: Test Date: 20210604; Test Name: chest auscultation; Result Unstructured Data: Test Result:no abnormality; Comments: 15:40; Test Date: 20210604; Test Name: Blood pressure; Result Unstructured Data: Test Result:187/113; Comments: 13:40; Test Date: 20210604; Test Name: Blood pressure; Result Unstructured Data: Test Result:168/105; Comments: 13:45; Test Date: 20210604; Test Name: Blood pressure; Result Unstructured Data: Test Result:177/10; Comments: 13:55; Test Date: 20210604; Test Name: Blood pressure; Result Unstructured Data: Test Result:106/102; Comments: 14:00; Test Date: 20210604; Test Name: Blood pressure; Result Unstructured Data: Test Result:155/100; Comments: 14:10; Test Date: 20210604; Test Name: Blood pressure; Result Unstructured Data: Test Result:166/122; Comments: 14:25; Test Date: 20210604; Test Name: Blood pressure; Result Unstructured Data: Test Result:138/81; Comments: 14:50; Test Date: 20210604; Test Name: Blood pressure; Result Unstructured Data: Test Result:133/86; Comments: 15:10; Test Date: 20210604; Test Name: Blood pressure; Result Unstructured Data: Test Result:140/103; Comments: 15:15; Test Date: 20210604; Test Name: Blood pressure; Result Unstructured Data: Test Result:148/108; Comments: 15:25; Test Date: 20210604; Test Name: Blood pressure; Result Unstructured Data: Test Result:138/95; Comments: 15:35; Test Date: 20210604; Test Name: bodytempurature; Result Unstructured Data: Test Result:37.2 Centigrade; Comments: 14:30; Test Date: 20210604; Test Name: bodytempurature; Result Unstructured Data: Test Result:37.1 Centigrade; Comments: 15:00; Test Date: 20210604; Test Name: bodytempurature; Result Unstructured Data: Test Result:36.1 Centigrade; Comments: before the vaccinations; Test Date: 20210604; Test Name: pulse rate; Result Unstructured Data: Test Result:100; Comments: 13:40; Test Date: 20210604; Test Name: pulse rate; Result Unstructured Data: Test Result:110, ranging from 99 to 112; Comments: 13:45; Test Date: 20210604; Test Name: pulse rate; Result Unstructured Data: Test Result:100; Comments: 13:55; Test Date: 20210604; Test Name: pulse rate; Result Unstructured Data: Test Result:100; Comments: 14:00; Test Date: 20210604; Test Name: pulse rate; Result Unstructured Data: Test Result:80; Comments: 14:10; Test Date: 20210604; Test Name: pulse rate; Result Unstructured Data: Test Result:67; Comments: 14:25; Test Date: 20210604; Test Name: pulse rate; Result Unstructured Data: Test Result:80-95; Comments: 14:50; Test Date: 20210604; Test Name: pulse rate; Result Unstructured Data: Test Result:85; Comments: 15:10; Test Date: 20210604; Test Name: pulse rate; Result Unstructured Data: Test Result:86; Comments: 15:15; Test Date: 20210604; Test Name: pulse rate; Result Unstructured Data: Test Result:91; Comments: 15:25; Test Date: 20210604; Test Name: SPO2; Test Result: 96 %; Comments: 13:40; Test Date: 20210604; Test Name: SPO2; Test Result: 99 %; Comments: 13:45; Test Date: 20210604; Test Name: SPO2; Result Unstructured Data: Test Result:96-97 %; Comments: 13:55; Test Date: 20210604; Test Name: SPO2; Test Result: 98 %; Comments: 14:00; Test Date: 20210604; Test Name: SPO2; Test Result: 98 %; Comments: 14:10; Test Date: 20210604; Test Name: SPO2; Test Result: 98 %; Comments: 14:25; Test Date: 20210604; Test Name: SPO2; Test Result: 98 %; Comments: 14:50; Test Date: 20210604; Test Name: SPO2; Test Result: 97 %; Comments: 15:10; Test Date: 20210604; Test Name: SPO2; Test Result: 98 %; Test Date: 20210604; Test Name: SPO2; Result Unstructured Data: Test Result:97-98 %; Comments: 15:25
CDC 'Split Type': JPPFIZER INC2021653908

Write-up: Chilliness; Light-headed feeling/Swaying feeling; Anaphylaxis; Blood Pressure 187/113; bulbar conjunctiva hyperaemia; throat discomfort; Palpitations; Numbness of both upper limbs; This is a spontaneous report from a contactable physician received via COVID-19 Adverse Event Self-Reporting Solution (COVAES) and received via RA. The patient was a non-pregnant 42-year-old female. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient received Symbicort and Allegra within 2 weeks of vaccination. Prior to vaccination, the patient was not diagnosed with COVID-19. The patient had no allergies to medications, food, or other products. Other medical history included Asthma bronchial and Dermatitis atopic. On 04Jun2021 at 13:30 (the day of vaccination), the patient received the first single dose of BNT162B2 (COMIRNATY, Solution for injection, Lot number EY0779, Expiration date 31Aug2021) intramuscular in the left arm for COVID-19 immunization. Event onset date was reported as 04Jun2021 at 13:45 (as reported). Clinical course of events as follow: On 04Jun2021 13:30, the patient was vaccinated. 10 minutes after vaccination, the patient experienced bulbar conjunctiva hyperaemia, throat discomfort, Palpitations, Numbness of both upper limbs, Blood Pressure 187/113, Pulse rate 100, SpO2 96%. At 13:45, Blood Pressure 168/105, Pulse rate 110, SpO2 99% Pulse rate ranging from 99 to 112, Numbness in the left upper limb disappeared. At 13:55, blood pressure 177/10 (as reported), Pulse rate 100, SpO2 96-97%, Numbness in the right upper limb disappeared. At 14:00, Blood pressure 106/102, Pulse rate 100, SpO2 98%, Numbness in both upper limbs disappearedd. Bulbar conjunctiva hyperaemia was recovering. At 14:10, Blood pressure 155/100, Pulse rate 80, SpO2 98%. At 14:20, walking to the toilet with feeling of urination, and had chillness and Light-headed feeling when walking. At 14:25, Blood pressure 166/122, Pulse rate 67, SpO2 98%. At 14:30, Lactec 500ml was started via iv drip for 2 hours, body temperature 37.2 Centigrade. At 14:50, Blood pressure 138/81, Pulse rate 80-95, SpO2 98%. At 15:00, body temperature 37.1 Centigrade. At 15:10, Blood pressure 133/86, Pulse rate 85, SpO2 97%, walking to the toilet with a feeling of urination, and there was still Swaying feeling. At 15:15, Blood pressure 140/103, Pulse rate 86, SpO2 98%. At 15:25, Blood Pressure 148/108, Pulse rate 91, SpO2 97-98%. At 15:35, Blood pressure 138/95. At 15:40, there was no abnormality in chest auscultation, Bulbar conjunctiva hyperaemia was recovering, no redness and other symptoms. The patient was walking home. The patient was 42-year and 6-month-old female. Body temperature before the vaccinations was 36.1 degrees Centigrade. The patient''s family history was none. Patient''s history according to the vaccine screening questionnaire (primary diseases, allergies, vaccinations and illnesses within the last one month, medications the patient was taking, past adverse effect history, growth status, etc.) included drugs used due to bronchial asthma included Steroid inhalation drugs, symbicort and allegra, etc. There was Dermatitis atopic. the patient self-stated that no asthma attack in this year. Since last Apr, there had been no job change due to asthma attack. No night shift. On 04Jun2021(the day of vaccination) at 13:40 (as reported), the patient experienced Anaphylaxis. On 04Jun2021 (the day of vaccination), the outcome of event was recovered. Clinical course of events as follow: 10 minutes after vaccination, the patient experienced Hyperemia of eyeball (as reported), Throat discomfort, Palpitations, Numbness of both upper limbs, Blood Pressure 187/113, Pulse rate 100, SpO2 96%. At 14:00, Blood pressure 106/102, Pulse rate 100, SpO2 98%, Numbness in both upper limbs disappeared. Hyperemia of eyeball (as reported) was recovering. At 15:40, there was no abnormality in chest auscultation, Bulbar conjunctiva hyperaemia (as reported) was recovering, no redness and other symptoms. The patient was walking home. The reporter classified the event as non-serious and assessed the causality between the event and the vaccines as related. Other possible cause of the event such as any other diseases was none. The outcome of the event was recovered on 04Jun2021, Numbness of both upper limbs was recovered on 04Jun2021 14:00 with treatment including observation and infusion. The reporter classified the events as non-serious. Since the vaccination, the patient has not been tested for COVID-19.; Sender''s Comments: Based on a very close time of vaccine administration to onset (10 mins) of events (anaphylactic reaction, conjunctival hyperemia, throat discomfort, palpitations, hypoasthesia, blood pressure increased, dizziness and chilliness), causality secondary to the COVID 19 vaccine cannot be denied.

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