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This is VAERS ID 1412182

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1412182
VAERS Form:2
Age:
Sex:Unknown
Location:Foreign
Vaccinated:2021-05-28
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 - / UNK - / -

Administered by: Other      Purchased by: ??
Symptoms: Computerised tomogram, Electrocardiogram, Full blood count, Myalgia, Pneumonia, Musculoskeletal chest pain, Coagulation test, SARS-CoV-2 test negative

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)? Yes
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Date: 20210608; Test Name: Coagulation test; Result Unstructured Data: Test Result:blood coagulation was above the reference value; Test Date: 20210605; Test Name: tomography; Result Unstructured Data: Test Result:unknown; Test Date: 20210608; Test Name: tomography; Result Unstructured Data: Test Result:unknown; Comments: No clot was observed in the medicated tomography.; Test Date: 20210605; Test Name: EKG; Result Unstructured Data: Test Result:unknown; Test Date: 20210608; Test Name: EKG; Result Unstructured Data: Test Result:unknown; Test Date: 20210605; Test Name: full blood; Result Unstructured Data: Test Result:unknown; Test Date: 20210608; Test Name: full blood; Result Unstructured Data: Test Result:unknown; Comments: It was observed that blood coagulation was above the reference value, besides, it was determined that the infection value in the blood was quite high.; Test Name: covid-19 test; Test Result: Negative
CDC 'Split Type': TRPFIZER INC2021705584

Write-up: pneumonia; Muscle pain; pain in left rib cage; This is a spontaneous report from a contactable consumer or other non hcp through Pfizer Business Partner. A 24-year-old patient of an unspecified gender received BNT162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Batch/Lot number was not reported), via an unspecified route of administration on 28May2021 at single dose for COVID-19 immunisation. Relevant medical history and concomitant medications were not reported. On 03Jun2021 the patient felt severe pain in left rib cage, went to the hospital on 05Jun2021 and after ECG, whole blood and tomography tests was diagnosed with muscle pain and was sent home to be given pain reliever. As the pain worsened, the patient went back to the hospital on 08Jun2021 and underwent ECG, whole blood and medicated tomography tests. As a result of the tests, it was seen that the blood coagulation was above the reference value, besides, it was determined that the infection value in the blood was quite high. No clot was observed in the medicated tomography. The patient was discharged with the diagnosis of pneumonia with a drug called Avelox. Covid-19 test was negative. Outcome of the events was unknown.

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