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 1415835



Case Details

VAERS ID: 1415835 (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 EW3143 / 1 - / -

Administered by: Other       Purchased by: ?
Symptoms: Musculoskeletal stiffness, Neck pain, SARS-CoV-2 test, Tenderness
SMQs:, Dystonia (broad), Parkinson-like events (broad), Noninfectious encephalitis (broad), Noninfectious meningitis (broad), Arthritis (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: Medical History/Concurrent Conditions: High cholesterol; Ischaemic heart disease; Low sodium diet; Comments: None known. Known family issues but not present in myself include high cholesterol but healthy weights and diet on both sides of the family Father and his father had heart disease requiring stents. Patient has not had symptoms associated with COVID-19 Patient is not enrolled in clinical trial
Allergies:
Diagnostic Lab Data: Test Date: 20210603; Test Name: COVID-19 virus test; Test Result: Negative ; Comments: No - Negative COVID-19 test
CDC Split Type: GBPFIZER INC2021657431

Write-up: arm tenderness; Difficulty turning head left and right; Stiff neck; Neck pain; This is a spontaneous report from a contactable consumer or other non -HCP. This is a report received from the regulatory authority. The regulatory authority report number is GB-MHRA-WEBCOVID-202106050653595100-Z8BLP. Safety Report Unique Identifier GB-MHRA-ADR 25425017 . A 32-year-old male patient received first dose of bnt162b2 (BNT162B2), via an unspecified route of administration on 02Jun2021 (Batch/Lot Number: EW3143) as 1st dose, single for covid-19 immunisation. Medical history included blood cholesterol increased from an unknown date and unknown if ongoing, myocardial ischaemia from an unknown date and unknown if ongoing, medical diet from an unknown date and unknown if ongoing. The patient''s concomitant medications were not reported. The patient experienced arm tenderness on an unspecified date with outcome of recovering, stiff neck on 03Jun2021 with outcome of not recovered, neck pain on 03Jun2021 with outcome of not recovered, difficulty turning head left and right on an unspecified date with outcome of unknown. Seriousness criteria of the events was medically significant. The patient underwent lab tests and procedures which included sars-cov-2 test: negative on 03Jun2021 No - Negative COVID-19 test. The clinical course was reported as follows: None known. Known family issues but not present in myself include high cholesterol but healthy weights and diet on both sides of the family Father and his father had heart disease requiring stents. Patient has not had symptoms associated with COVID-19. Felt fine immediately afterwards. Just some minor arm tenderness akin to a bruise. Following day neck pain and stiffness at rear and sides. Worse towards left side where injection took place. Minor first day and progressively worsened over next two days and ongoing. Difficulty turning head left and right. Down fine. Up mildly painful. Patient has not tested positive for COVID-19 since having the vaccine No follow-up attempts are possible ,No further information is expected.


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1415835


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