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This is VAERS ID 1411985

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1411985
VAERS Form:2
Age:40.0
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 EX3617 / 2 - / -

Administered by: Other      Purchased by: ??
Symptoms: Blood pressure systolic increased, Body temperature, Cold sweat, Dyspnoea, Heart rate, Heart rate decreased, Oxygen saturation, Palpitations, Rash, Hyporesponsive to stimuli, 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:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210604; Test Name: Blood pressure; Result Unstructured Data: Test Result:140-90; Comments: 2 minutes after the vaccination; Test Date: 20210604; Test Name: Blood pressure; Result Unstructured Data: Test Result:118-70; Comments: 10 minutes after the administration of drugs; Test Date: 20210604; Test Name: Body temperature; Result Unstructured Data: Test Result:36.7 Centigrade; Comments: Before vaccination; Test Date: 20210604; Test Name: Heart rate; Result Unstructured Data: Test Result:45; Comments: 2 minutes after the vaccination; Test Date: 20210604; Test Name: Heart rate; Result Unstructured Data: Test Result:47; Comments: 10 minutes after the administration of drugs; Test Date: 20210604; Test Name: Oxygen saturation; Test Result: 98 %; Comments: 2 minutes after the vaccination; Test Date: 20210604; Test Name: Oxygen saturation; Test Result: 99 %; Comments: 10 minutes after the administration of drugs
CDC 'Split Type': JPPFIZER INC2021658633

Write-up: reacion to question was dull; cold sweat; Pulse rate low (45); dyspnoea; palpitations; rash on the chest; rash on the chest; blood pressure was 140-90; This is a spontaneous report from a contactable physician received from a regulatory authority. Regulatory authority report number is v21111851. The patient was a 40-year-old female. Body temperature before vaccination was 36.7 degrees 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). On an unspecified date, the patient previously received the first dose of bnt162b2 (COMIRNATY, Lot# EX3617, Expiration date 31Aug2021). On 04Jun2021, at 13:20 (the day of vaccination), the patient received the second dose of bnt162b2 (COMIRNATY, Solution for injection, Lot number EX3617, Expiration date 31Aug2021) via an unspecified route of administration as a single dose for COVID-19 immunization. Event onset date was reported as 04Jun2021, at 13:25 (5 minutes after the vaccination). On 04Jun2021 (the day of vaccination), the outcome of the event was recovered. The course of the event was as follows: On 04Jun2021, at 13:22 (2 minutes after the vaccination), the patient experienced cold sweat, palpitations, dyspnoea, and rash on the chest. The blood pressure was 140-90. Heart rate was 45. Oxygen saturation was 98%. The patient could answer questions when being asked. But the reaction was dull. BICANATE was administered via intravenous drip. Adrenaline was administered via injection. After 10 minutes, the symptoms almost disappeared. The blood pressure was 118-70. Heart rate was 47. Oxygen saturation was 99%. The reporting physician classified the event as non-serious and assessed that the event was related to bnt162b2. There was no other possible cause of the event such as any other diseases.

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