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This is VAERS ID 1412115

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1412115
VAERS Form:2
Age:27.0
Sex:Female
Location:Foreign
Vaccinated:2021-06-03
Onset:2021-06-03
Submitted:0000-00-00
Entered:2021-06-19
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FD0932 / 1 LA / -

Administered by: Other      Purchased by: ??
Symptoms: Asthenia, Blood pressure decreased, Body temperature decreased, Cold sweat, Dizziness, Laryngeal oedema, Nausea, Somnolence

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
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: COVID-19
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': PLPFIZER INC2021656394

Write-up: 20 minutes after receiving the first dose, there was a sudden drop in temperature and blood pressure, cold sweat, laryngeal edema, nausea, dizziness, weakness, drowsiness.; 20 minutes after receiving the first dose, there was a sudden drop in temperature and blood pressure, cold sweat, laryngeal edema, nausea, dizziness, weakness, drowsiness.; 20 minutes after receiving the first dose, there was a sudden drop in temperature and blood pressure, cold sweat, laryngeal edema, nausea, dizziness, weakness, drowsiness.; 20 minutes after receiving the first dose, there was a sudden drop in temperature and blood pressure, cold sweat, laryngeal edema, nausea, dizziness, weakness, drowsiness.; 20 minutes after receiving the first dose, there was a sudden drop in temperature and blood pressure, cold sweat, laryngeal edema, nausea, dizziness, weakness, drowsiness.; 20 minutes after receiving the first dose, there was a sudden drop in temperature and blood pressure, cold sweat, laryngeal edema, nausea, dizziness, weakness, drowsiness.; 20 minutes after receiving the first dose, there was a sudden drop in temperature and blood pressure, cold sweat, laryngeal edema, nausea, dizziness, weakness, drowsiness.; 20 minutes after receiving the first dose, there was a sudden drop in temperature and blood pressure, cold sweat, laryngeal edema, nausea, dizziness, weakness, drowsiness.; This is as spontaneous report received from a contactable consumer (patient) via a regulatory authority. Safety report unique identifier is PL-COVAES-51fb5d66-86a9-4075-968b-c90b16e25c3c. A 27-year-old female patient received first dose bnt162b2 (COMIRNATY, Batch/Lot Number: FD0932), via an unspecified route of administration, administered in left arm on 03Jun2021 19:00 at the age of 27-year-old as single dose for covid-19 immunization. Medical history included covid-19 from an unknown date and unknown if ongoing. The patient''s concomitant medications were not reported. The patient experienced 20 minutes after receiving the first dose, there was a sudden drop in temperature and blood pressure, cold sweat, laryngeal edema, nausea, dizziness, weakness, drowsiness on 03Jun2021 19:15. The adverse event result in doctor or other healthcare professional office/clinic visit. The outcome of events were resolving. Facility where the most recent COVID-19 vaccine was administered was hospital. The patient didn''t receive any other vaccines within 4 weeks prior to the COVID vaccine. There was no any other medications the patient received within 2 weeks of vaccination. Since the vaccination, the patient has not been tested for COVID-19. No follow-up attempts possible. No further information expected.

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