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This is VAERS ID 1414848

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1414848
VAERS Form:2
Age:38.0
Sex:Female
Location:Foreign
Vaccinated:2021-06-04
Onset:2021-06-04
Submitted:0000-00-00
Entered:2021-06-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0216 / 1 LA / -

Administered by: Other      Purchased by: ??
Symptoms: Dizziness, Dry mouth, Fatigue, Feeling abnormal, Headache, Nausea, Pain in extremity, Injected limb mobility decreased

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: Medical History/Concurrent Conditions: Penicillin allergy
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': CAPFIZER INC2021671928

Write-up: Significant arm pain immediately after receiving the vaccine for 24 hours, could not raise left arm; Significant arm pain immediately after receiving the vaccine for 24 hours, could not raise left arm; Dry mouth; mild nausea; headache; slight dizziness; exhaustion; overall feeling poorly; This is a spontaneous report from a non-contactable consumer (patient). A 38-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in the left arm, on 04Jun2021 11:15 (batch/lot number: EW0216), as 1st dose, single, at age 38 years old, for COVID-19 immunisation, at a public health clinic/veterans administration facility. The patient was not pregnant at the time of vaccination. Medical history included penicillin allergy. The patient was not diagnosed with COVID-19 prior to vaccination and was not tested for COVID-19 since the vaccination. There were no concomitant medications (the patient did not receive any other medications within 2 weeks of vaccination). The patient did not receive any other vaccines within 4 weeks prior to the COVID-19 vaccine. On 04Jun2021, the patient experienced significant arm pain immediately after receiving the vaccine for 24 hours, could not raise left arm, dry mouth, mild nausea, headache, slight dizziness, exhaustion, overall feeling poorly for 48 hours. No treatment was given for the events. The events did not require hospitalization. The outcome of the events was reported as recovering. No follow-up attempts are possible. No further information is expected.

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