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This is VAERS ID 1416049

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1416049
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2021-06-03
Onset:2021-06-04
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: Breast pain, Axillary pain

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: Chest pain; Hospitalization (for chest pain); Kidney infection; Kidney stones; Lactation decreased
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': GBPFIZER INC2021657457

Write-up: Pain spreads across breast from armpit area; Armpit pain; This is a spontaneous report from a contactable consumer received from the Regulatory Authority . The regulatory authority report number is GB-MHRA-WEBCOVID-202106060123278770-EF8PG, Safety Report Unique Identifier GB-MHRA-ADR 25426660. A 29-year-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 03Jun2021 as single dose for COVID-19 immunisation. Medical history included kidney stones, lactation decreased, chest pain, suffered with kidney stones and recurrent kidney infections, had 3 previous admissions to hospital for chest pain. She has not had symptoms associated with COVID-19, not had a COVID-19 test, not enrolled in clinical trial, not pregnant, and not currently breastfeeding. The patient''s concomitant medications were not reported. The patient experienced armpit pain on 04Jun2021. Case narrative: Pain spreads across breast from armpit area. She has not tested positive for COVID-19 since having the vaccine. The outcome of armpit pain was not recovered while outcome of breast pain was unknown. Case was reported as medically significant by health authority. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

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