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From the 9/10/2021 release of VAERS data:

This is VAERS ID 1416029



Case Details

VAERS ID: 1416029 (history)  
Form: Version 2.0  
Age: 35.0  
Sex: Female  
Location: Foreign  
Vaccinated:2021-06-03
Onset:2021-06-03
   Days after vaccination:0
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: Burning sensation, Neck pain, Pain in extremity, Pain of skin, SARS-CoV-2 test
SMQs:, Peripheral neuropathy (broad), Arthritis (broad), Tendinopathies and ligament disorders (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: Lactation decreased; Raynaud''s
Allergies:
Diagnostic Lab Data: Test Date: 20210603; Test Name: COVID-19 virus test; Result Unstructured Data: Test Result:Negative Results
CDC Split Type: GBPFIZER INC2021657929

Write-up: This is a spontaneous report from a contactable consumer received from the Regulatory Authority. The regulatory authority report number is GB-MHRA-WEBCOVID-202106052130019990-JM6GC, Safety Report Unique Identifier GB-MHRA-ADR 25426494. A 35-year-old female patient received BNT162B2 (COVID-19 MRNA VACCINE BIONTECH), dose 1 via an unspecified route of administration at single dose on 03Jun2021 at age of 35-year-old for covid-19 immunisation. Medical history included Lactation decreased, Raynauds. Patient has not had symptoms associated with COVID-19. 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 Painful arm, arm and neck pain for 2 days after the vaccine on 03Jun2021 with outcome of recovered on 05Jun2021, scalp tenderness, burning on 05Jun2021 with outcome of not recovered. The patient underwent lab tests and procedures which included COVID-19 virus test: negative results on 03Jun2021. Clinical course: Arm and neck pain for 2 days after the vaccine, 3rd day scal tenderness and burning that would not go away. Patient has not tested positive for COVID-19 since having the vaccine Suspect Reactions. No details of any relevant investigations or tests conducted provided. No follow-up attempts are possible; information about lot/batch number cannot be obtained.


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