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This is VAERS ID 1416229

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1416229
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 EY0779 / 1 - / -

Administered by: Other      Purchased by: ??
Symptoms: Body temperature, Hypoaesthesia, Palpitations, Dysstasia

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: Caffeine allergy
Allergies:
Diagnostic Lab Data: Test Date: 20210603; Test Name: body temperature; Result Unstructured Data: Test Result:36.2 Centigrade; Comments: before vaccination
CDC 'Split Type': JPPFIZER INC2021658903

Write-up: Difficulty in standing; Hand and foot numbness; Palpitations; This is a spontaneous report from a contactable physician received from the The regulatory authority; report number is v21111925. The patient was a 37-year-old female. The patient was allergy to the local anesthetics and caffeine. Body temperature before the vaccination was 36.2 degrees Centigrade. On the 03Jun2021 at 9:10 A.M. (the day of the vaccination) the patient received BNT162B2(COMIRNATY, Solution for injection, Lot number: EY0779, Expiration date: 31Aug2021) via an unspecified route of administration, as 1st dose, single for COVID-19 immunization. The course of the event was as follows: The event onset date was as reported as 04Jun2021 (the day after the vaccination). At 15:00 of 04Jun2021, the patient developed hand and foot numbness, palpitations, and difficulty in standing. At the request of the patient''s family, the patient was rushed to the hospital. The outcome of the events was recovering at 04Jun2021. The reporter classified the events as serious (can lead to disability) and assessed that that the causality between the BNT162B2 was not provided. The reporting physician commented as follows: It was contacted the patient that night and learned that the patient''s symptoms had improved, returned home.

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