National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

This is VAERS ID 1415663

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1415663
VAERS Form:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other      Purchased by: ??
Symptoms: Nasopharyngitis, Pyrexia, Vomiting

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
Diagnostic Lab Data:
CDC 'Split Type': GBPFIZER INC2021657801

Write-up: fever/cold and hot fever; cold and hot fever; Vomiting; This is a spontaneous report from a contactable consumer (patient) received from the Regulatory Agency. The regulatory authority report number is GB-MHRA-WEBCOVID-202106041325472710-VB615, Safety Report Unique Identifier GB-MHRA-ADR 25420531. A 32-year-old non-pregnant female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 03Jun2021 (Lot number was not reported) as 1st dose, single at the age of 32-year-old for COVID-19 immunisation. Medical history included lactation decreased. Patient has not had symptoms associated with COVID-19. Not had a COVID-19 test. Patient is not enrolled in clinical trial. Patient is not currently breastfeeding. The patient''s concomitant medications were not reported. Patient had a couple of alcoholic drinks after receiving the vaccine, and have been vomiting all morning, with cold and hot fever on 03Jun2021. Patient has not tested positive for COVID-19 since having the vaccine. The seriousness was reported as medically significant. The outcome of event vomiting was recovering. The outcome of other event was unknown. No follow-up attempts are possible, information about batch number cannot be obtained.

New Search

Link To This Search Result:

Government Disclaimer on use of this data

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