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This is VAERS ID 1415622

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1415622
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2021-05-27
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 EY5456 / 1 - / -

Administered by: Other      Purchased by: ??
Symptoms: Dizziness, Fatigue, Headache, Nausea, Somnolence, Thrombosis, Vision blurred, Contusion, SARS-CoV-2 test

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: Lactation decreased
Allergies:
Diagnostic Lab Data: Test Date: 20210124; Test Name: COVID-19 virus test; Test Result: Negative ; Comments: No - Negative COVID-19 test
CDC 'Split Type': GBPFIZER INC2021657598

Write-up: 111 suspected a potential blood clot due to some unexplained bruising; headache; bruising; Dizziness; nausea; blurred vision.; feeling very fatigued; slept mostly all day; This is a spontaneous report from a contactable consumer received from the Regulatory Agency (RA). The regulatory authority report number is GB-MHRA-WEBCOVID-202106040911393820-FODOX. Safety Report Unique Identifier GB-MHRA-ADR 25418887. A 31-year-old female patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration on 27May2021 (Batch/Lot Number: EY5456) as 1ST DOSE, SINGLE for COVID-19 vaccination. The patient''s medical history included suppressed lactation. Concomitant medications were not reported. Patient has not had symptoms associated with COVID-19 Patient is not enrolled in clinical trial Patient is not pregnant, Patient is not currently breastfeeding. On an unspecified date, the patient experienced headache. On an unspecified date, the patient experienced bruising. On 04Jun2021, the patient experienced dizziness. The above mentioned events were provided as serious other medically important condition by the regulatory authority. Additional clinical course details was as follows: Woke up with severe dizziness when standing, nausea and blurred vision. Also feeling very fatigued and slept mostly all day. Symptoms got better if sitting or laying down and much better the following day. Discussed with GP about symptoms as 111 suspected a potential blood clot due to some unexplained bruising. GP advised potential late side effects from vaccine and to go to clinic if symptoms got worse or headache appeared. The patient underwent lab tests and procedures which included COVID-19 virus test: negative (No - Negative COVID-19 test) on 24Jan2021. The outcome of the events headache and bruising was recovered, for event dizziness was recovering, and for the rest of events was unknown. Patient has not tested positive for COVID-19 since having the vaccine. No follow-up attempts are possible. No further information is expected.

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