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From the 9/3/2021 release of VAERS data:

This is VAERS ID 1415780



Case Details

VAERS ID: 1415780 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Foreign  
Vaccinated:2021-06-02
Onset:2021-06-03
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-06-21
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW5143 / 1 - / -

Administered by: Other       Purchased by: ?
Symptoms: Acute chest syndrome, Blood pressure measurement, Dyspnoea, Electrocardiogram, Fatigue, Oxygen saturation, SARS-CoV-2 test
SMQs:, Anaphylactic reaction (broad), Acute central respiratory depression (broad), Pulmonary hypertension (broad), Cardiomyopathy (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:
Allergies:
Diagnostic Lab Data: Test Name: blood pressure; Result Unstructured Data: Test Result:Normal; Test Name: electrocardiogram; Result Unstructured Data: Test Result:Normal; Test Name: O2 levels; Result Unstructured Data: Test Result:Normal; Test Date: 20210604; Test Name: COVID-19 virus test; Test Result: Negative ; Comments: No - Negative COVID-19 test
CDC Split Type: GBPFIZER INC2021657698

Write-up: struggling to breath deeply; fatigue; Acute chest syndrome; This is a spontaneous report from a contactable consumer received from the Regulatory Agency. The regulatory authority report number is GB-MHRA-WEBCOVID-202106041855010540-JGN0D, Safety Report Unique Identifier GB-MHRA-ADR 25423141. A 33-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 02Jun2021 (Lot Number: EW5143) as SINGLE DOSE for covid-19 immunisation. The patient medical history was not reported. The patient''s concomitant medications were not reported. Patient has not had symptoms associated with COVID-19 Patient is not enrolled in clinical trial. The patient experienced Acute chest pain in the left side of the chest, right below the pectoral on 03Jun2021, struggling to breath deeply, it hurts a lot when the breath goes longer and deeper than a normal one, lack of air and fatigue on an unspecified date. The patient underwent lab tests and procedures which included blood pressure measurement: normal on an unspecified date, electrocardiogram: normal on an unspecified date, oxygen saturation: normal on an unspecified date, sars-cov-2 test: negative on 04Jun2021 No - Negative COVID-19 test. Outcome of event Acute chest syndrome was not recovered, of others was recovered on unknown date. Patient has not tested positive for COVID-19 since having the vaccine. No follow-up attempts are possible. No further information is expected.


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