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This is VAERS ID 1415765

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1415765
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2021-06-02
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: Fatigue, Nausea

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: Hypothyroidism; Lactation decreased
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': GBPFIZER INC2021657952

Write-up: This is a spontaneous report from a contactable consumer received from the Regulatory Agency (RA). The regulatory authority report number is GB-MHRA-WEBCOVID-202106041729083630-5LEA9. Safety Report Unique Identifier is GB-MHRA-ADR 25422523.A 32-years-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), first dose via an unspecified route of administration on 02Jun2021 (Lot number was not reported) as single dose for COVID-19 immunisation. Medical history included hypothyroidism, Lactation decreased. Hypothyroidism, 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 pregnant, Patient is not currently breastfeeding. The patient''s concomitant medications were not reported. The patient experienced nausea on 04Jun2021 with outcome of not recovered, tiredness on 03Jun2021 with outcome of not recovered.Additional Information: Patient has not tested positive for COVID-19 since having the vaccine. Case was reported as serious and seriousness criteria was medically significant. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

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