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This is VAERS ID 1411982

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1411982
VAERS Form:2
Age:26.0
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 FA2453 / 2 - / -

Administered by: Other      Purchased by: ??
Symptoms: Body temperature, Feeling abnormal, Heart rate, Nausea, Presyncope, Blood pressure measurement

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: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None
Allergies:
Diagnostic Lab Data: Test Date: 20210604; Test Name: Blood pressure; Result Unstructured Data: Test Result:113/79; Test Date: 20210604; Test Name: Body temperature; Result Unstructured Data: Test Result:36.4 Centigrade; Comments: before vaccination; Test Date: 20210604; Test Name: P; Result Unstructured Data: Test Result:61
CDC 'Split Type': JPPFIZER INC2021658438

Write-up: Vasovagal reflex; feels poorly (queasy); feels poorly (queasy); This is a spontaneous report from a contactable physician received from the Regulatory Authority (RA). Regulatory authority report number is v21111839. The patient was a 26-year-old female. Body temperature before vaccination was 36.4 Centigrade. There were no points to be considered on 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). There was no medical history or On 04Jun2021 at 13: 30 (the day of vaccination), the patient received the second dose of bnt162b2 (COMIRNATY intramuscular injection, Lot number FA2453, Expiration date 31Aug2021) via an unspecified route of administration at age of 26-years, as a single dose for COVID-19 immunization. On 04Jun2021 at 13: 45 (15 minutes after the vaccination), the patient experienced Vasovagal reflex. The course of the event was as follows: The patient was vaccinated at 13:30 and had feels poorly (queasy) after 15 minutes. Blood pressure 113/79, P 61, No arrhythmia, No cyanosis. Because of persistent queasy, the intravenous drip started at 2:35 (SOLDEM 200ml and Primperan 1A). The symptom of feels poorly (queasy) disappeared at the end of the intravenous drip (as reported). After resting for a while, the patient went home. On 04Jun2021 (the same day of vaccination), the outcome of the event was recovering (as reported). The reporter classified the event as non-serious and assessed the causality between the event and bnt162b2 as un-assessable. There was no other possible cause of the event such as any other diseases. No follow-up attempts are possible. No further information expected.

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