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This is VAERS ID 1418742

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1418742
VAERS Form:2
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other      Purchased by: ??
Symptoms: Headache, Nausea, Vision blurred, Vomiting, 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)? No
Hospitalized? No
Previous Vaccinations:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Multiple allergies
Diagnostic Lab Data: Test Date: 20210604; Test Name: COVID-19 virus test; Test Result: Negative
CDC 'Split Type': GBPFIZER INC2021671637

Write-up: nausea; Vomiting; Headache; Blurred vision; This is a spontaneous report from a contactable consumer received from the Regulatory Agency. The regulatory authority report number is GB-MHRA-WEBCOVID-202106041931044710-8IILT, Safety Report Unique Identifier GB-MHRA-ADR 25423438. A 28-year-old female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration on 03Jun2021 as dose1, single for COVID-19 immunisation, at the age of 28-years-old. Medical history included multiple allergies. Patient had not had symptoms associated with COVID-19 and was not enrolled in clinical trial. Patient was not pregnant and was not currently breastfeeding. Concomitant medications included fexofenadine taken for multiple allergies from 09Aug2020 to an unspecified stop date; ethinylestradiol, levonorgestrel (RIGEVIDON) taken for an unspecified indication from 11Oct2019 to an unspecified stop date. The patient experienced nausea on 04Jun2021, vomiting, headache and blurred vision on 03Jun2021. The events were reported as serious as important medical events. It was reported that patient started with headache within half an hour, 5 hours later severe headache, blurred vision, vomiting. By morning after slight nausea and headache. The patient underwent lab tests and procedures which included COVID-19 virus test: negative on 04Jun2021. The patient was recovering from nausea and headache, had recovered from vomiting on 03Jun2021 and from blurred vision on 04Jun2021. No follow-up attempts are possible. Information about batch/lot number cannot be obtained.

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