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This is VAERS ID 1415735

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1415735
VAERS Form:2
Age:
Sex:Male
Location:Foreign
Vaccinated:2021-05-31
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: Asthenia, Dizziness, Headache, Malaise, Vision blurred, SARS-CoV-2 test

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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:
Allergies:
Diagnostic Lab Data: Test Date: 20210603; Test Name: COVID-19 virus test; Result Unstructured Data: Test Result:No - Negative COVID-19 test
CDC 'Split Type': GBPFIZER INC2021657309

Write-up: dizziness; blurred vision; weakness in arms and legs, general weakness; feeling and been sick; Headache; This is a spontaneous report from a contactable consumer received from the Regulatory Agency (RA). The regulatory authority report number is GB-MHRA-WEBCOVID-202106041541367510-NKNR5. Safety Report Unique Identifier GB-MHRA-ADR 25421522. A 20-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 31May2021 as single dose for COVID-19 immunisation. The patient''s medical history and concomitant medications were not reported. He has not had symptoms associated with COVID-19 and not enrolled in clinical trial. The patient experienced dizziness and blurred vision on an unspecified date; headache on 03Jun2021. Case narrative: headache, weakness in arms and legs, blurred vision, feeling and been sick, general weakness, and dizziness, all lasting so random 15-minute period 4 days after the vaccine. No relevant investigations or tests conducted. He has not tested positive for COVID-19 since having the vaccine. He underwent lab tests and procedures which included COVID-19 virus test: no - negative COVID-19 test on 03Jun2021. The patient recovered from all events on 03Jun2021. Case was reported as medically significant by health authority. No follow-up attempts are possible; information about lot/batch number cannot be requested.

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