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This is VAERS ID 1415633

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1415633
VAERS Form:2
Age:37.0
Sex:Female
Location:Foreign
Vaccinated:2021-06-03
Onset:2021-06-03
Submitted:0000-00-00
Entered:2021-06-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Other      Purchased by: ??
Symptoms: Arthralgia, Neck pain, Pain in extremity, Vaccination site erythema, Vaccination site pain, 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: SERTRALINE
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Anxiety; Lactation decreased
Allergies:
Diagnostic Lab Data: Test Name: COVID-19 virus test; Result Unstructured Data: Test Result:No - Negative COVID-19 test
CDC 'Split Type': GBPFIZER INC2021657339

Write-up: This is a spontaneous report from a contactable consumer received from the Regulatory Agency. A 37-year-old female patient received bnt162b2, via unspecified route of administration on 03Jun2021 (batch/lot number and expiry date unknown) at 37 years of age as 1st dose, single for covid-19 immunization. Medical history included suppressed lactation, anxiety. Concomitant medications included sertraline taken for anxiety from 01Jul2018 to an unspecified stop date. On 03Jun2021, the patient experienced painful arm, "aching deep pain around injection site" (vaccination site erythema), aching deep pain around injection site. The patient informed that she experienced aching deep pain around injection site, spread through arm from wrist to neck during the following few hours. 24 hours after injection ache reducing and more localized. The events were reported serious as other medically important condition. The patient underwent lab tests and procedures which included COVID-19 virus test: no - negative covid-19 test on unspecified date. The patient has not tested positive for COVID-19 since having the vaccine. The outcome of the events was recovering. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

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