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

This is VAERS ID 1416118



Case Details

VAERS ID: 1416118 (history)  
Form: Version 2.0  
Age: 49.0  
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 EW3143 / 2 - / -

Administered by: Other       Purchased by: ?
Symptoms: Dizziness, Headache, Inappropriate schedule of product administration, Nausea, SARS-CoV-2 test
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Medication errors (narrow), 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: Type 2 diabetes mellitus
Allergies:
Diagnostic Lab Data: Test Name: COVID-19 virus test; Test Result: Negative
CDC Split Type: GBPFIZER INC2021657337

Write-up: Headache; Nausea; Dizziness; The patient received the first dose of BNT162B2 on 26Feb2021 and the second dose on 03Jun2021; This is a non-interventional study report from a contactable consumer received from the regulatory authority. The regulatory authority report number is GB-MHRA-YCVM-202106041001148320-ZQQ37, Safety Report Unique Identifier GB-MHRA-ADR 25419086. A 49-years-old female patient received the second single dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) via an unspecified route of administration, on 03Jun2021 (Lot Number: EW3143), at the age of 49 years, for COVID-19 immunisation. Medical history included type 2 diabetic. The first dose of BNT162B2 vaccine was administered on 26Feb2021 (Batch/lot number: EL8713). Unsure if patient has had symptoms associated with COVID-19. Patient was not enrolled in clinical trial, was not pregnant and was not currently breastfeeding. The patient''s concomitant medications were not reported. The patient experienced headache on 04Jun2021 with outcome of not recovered, nausea on 03Jun2021 with outcome of not recovered, dizziness on 03Jun2021 with outcome of not recovered. The events were reported as serious as medically significant. The patient underwent lab tests and procedures which included COVID-19 virus test: negative on unspecified date. Additional information included: Type 2 diabetic. The reporter''s assessment of the causal relationship of the events headache, nausea and dizziness with the suspect product was not provided at the time of this report. Since no determination has been received, the case is managed based on the company causality assessment. No follow-up attempts are possible. No further information is expected.; Sender''s Comments: Based on the current available information and the plausible drug-event temporal association, there is a reasonable possibility that events Headache, Nausea, and Dizziness were related to suspect drug.


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