National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1415636

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1415636
VAERS Form:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other      Purchased by: ??
Symptoms: Feeling abnormal, Sedation, Musculoskeletal stiffness, SARS-CoV-2 test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? Yes
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: Cataplexy; Lactation decreased; Narcolepsy
Diagnostic Lab Data: Test Date: 20210603; Test Name: COVID-19 virus test; Test Result: Negative ; Comments: No - Negative
CDC 'Split Type': GBPFIZER INC2021657407

Write-up: spaced out; feel genuinely spaced out like I have been sedated; Stiffness; This is a spontaneous report from a contactable consumer (patient). This report was received from the Regulatory Authority. The regulatory authority report number is GB-MHRA-WEBCOVID-202106041032040950-VW8RK. Safety Report Unique Identifier is GB-MHRA-ADR 25419164. A 37-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 03Jun2021 (Lot number was not reported) as 1ST DOSE, SINGLE for COVID-19 immunisation. Medical history included lactation decreased, narcolepsy, and cataplexy; from unknown dates and unknown if ongoing. Patient has not had symptoms associated with COVID-19, was not enrolled in clinical trial, was not pregnant at time of vaccination, and not currently breastfeeding. The patient''s concomitant medications were not reported. On 04Jun2021, the patient experienced stiffness. On an unspecified date, the patient felt genuinely spaced out like she had been sedated. The events were considered serious due to disability. The patient underwent lab tests and procedures which included COVID-19 virus test: no- negative COVID-19 test on 03Jun2021. Patient has not tested positive for COVID-19 since having the vaccine. The outcome of stiffness was not recovered while outcome of feel genuinely spaced out like I have been sedated was recovering. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

New Search

Link To This Search Result:

Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166