National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 9/10/2021 release of VAERS data:

This is VAERS ID 1415646

Case Details

VAERS ID: 1415646 (history)  
Form: Version 2.0  
Age: 50.0  
Sex: Male  
Location: Foreign  
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-06-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: ?
Symptoms: Myalgia, Paraesthesia, SARS-CoV-2 test, Vaccination site pain
SMQs:, Rhabdomyolysis/myopathy (broad), Peripheral neuropathy (broad), Guillain-Barre syndrome (broad), Eosinophilic pneumonia (broad), Tendinopathies and ligament disorders (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: Test Date: 20210520; Test Name: COVID-19 virus test; Test Result: Negative; Comments: Negative.
CDC Split Type: GBPFIZER INC2021657803

Write-up: muscle pain; pins and needles; Muscle ache; muscle pain at the injection site; This is a spontaneous report from a contactable consumer received from the Regulatory Agency (RA). The regulatory authority report number is GB-MHRA-WEBCOVID-202106041141474890-Y3M1N. Safety Report Unique Identifier is GB-MHRA-ADR 25419676. A 50-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), first dose via an unspecified route of administration on 03Jun2021 (Lot Number: EW3143-L690) as single dose for COVID-19 immunisation. The patient medical history was not reported. Patient had not had symptoms associated with COVID-19. Patient was not enrolled in clinical trial. The patient''s concomitant medications were not reported. The patient experienced muscle pain on an unspecified date, pins and needles on an unspecified date, muscle ache on 03Jun2021. Started off with slight pins and needles in arm shortly after leaving vaccination center. After a few hours there was muscle pain at the injection site. This had remained during the following day. Patient had not tested positive for COVID-19 since having the vaccine. The events were reported as serious due to medically significant. The patient underwent lab tests and procedures which included COVID-19 virus test: Negative on 20May2021. The outcome of the event muscle ache and muscle pain at the injection site were not recovered, while the other events were recovering. No follow-up attempts are possible. 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