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This is VAERS ID 1416314

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1416314
VAERS Form:2
Age:44.0
Sex:Female
Location:Foreign
Vaccinated:2021-06-04
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 FD0932 / 2 LA / -

Administered by: Other      Purchased by: ??
Symptoms: Amnesia, Asthenia, Computerised tomogram, Headache, Influenza like illness, Loss of consciousness, Myalgia, Nausea, Vomiting, Blood test, Vaccination site pain, Specialist consultation, SARS-CoV-2 test

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)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: VITAMIN D [COLECALCIFEROL]; PANTOPRAZOLE; ACIDUM FOLICUM
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Penicillin allergy; Spherocytosis
Allergies:
Diagnostic Lab Data: Test Date: 20210605; Test Name: Blood test; Result Unstructured Data: Test Result:nothing was found; Test Date: 20210605; Test Name: CT; Result Unstructured Data: Test Result:nothing was found; Test Date: 20210605; Test Name: Nasal Swab; Test Result: Negative ; Test Date: 20210605; Test Name: Consultation with a neurologist; Result Unstructured Data: Test Result:nothing was found
CDC 'Split Type': PLPFIZER INC2021657043

Write-up: unconscious fainted on the floor; nausea; Went to the bathroom to vomit; no memory of the moment; Headache started at the night; strong pain on the local of injection; flu like symptoms; pain at the muscles; Feeling very weak; This is a spontaneous report from a contactable consumer (patient) received from COVAES. A 44-year-old female patient received BNT162B2 (COMIRNATY, solution for injection), dose 2 via an unspecified route of administration, administered in Arm Left on 04Jun2021 18:15 (at the age of 44 years old) (Lot Number: FD0932) as second dose, single for COVID-19 immunisation. Medical history included spherocytic anaemia and allergy to penicillin. Prior to the vaccination, patient was not diagnosed with COVID-19. The patient was not pregnant at the time of vaccination. The patient took her first dose of BNT162B2 on 30Apr2021 18:15 (lot number: EY3014 , Anatomical Location: Arm Left) for COVID-19 immunisation and experienced pain in the local of injection and some weakness on the day after. Concomitant medications included colecalciferol (VITAMIN D), pantoprazole and acidum folicum; all taken for an unspecified indication, start and stop date were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. On 04Jun2021 22:00, patient experienced headache that started at the night, strong pain on the local of injection, flu like symptoms, pain at the muscles. Patient was feeling very weak. After lunch on 05Jun2021, she started to feel very bad with a lot of nausea. Patient went to the bathroom to vomit and her husband came to help her after hearing her screaming. When he entered the bathroom, he found patient unconscious fainted on the floor, moving the legs and arms. Patient woke up after 30s or 1 minute, screaming again. She had no memory of the moment when screamed and lost consciousness. An ambulance was called and patient went to the hospital where she was examined with a CT, blood test and consultation with a neurologist and nothing was found. On the next day of the events, patient was feeling weak, but better. The events resulted in Emergency room/department or urgent care. Patient received treatment of Consultation at the ER (Emergency Room), CT (computerised tomography), blood test, IV (intravenous) drip. Since the vaccination, the patient been tested for COVID-19. On 05Jun2021, patient''s COVID-19 Nasal swab result was negative. The outcome of the events was recovering at the time of report.

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