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This is VAERS ID 1418770

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1418770
VAERS Form:2
Age:
Sex:Male
Location:Foreign
Vaccinated:2021-06-03
Onset:2021-06-04
Submitted:0000-00-00
Entered:2021-06-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Other      Purchased by: ??
Symptoms: Headache, Malaise, Hot flush

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? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Clinical trial participant
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': GBPFIZER INC2021663788

Write-up: Flush hot; Generally unwell; Headache; This is a spontaneous report from a contactable consumer received from the Regulatory Agency. The regulatory authority report number is GB-MHRA-WEBCOVID-202106061044065090-1Z6HT, Safety Report Unique Identifier is GB-MHRA-ADR 25426993. An 85-year-old male patient received second dose of BNT162B2 (COVID-19 MRNA VACCINE BIONTECH), via an unspecified route of administration on 03Jun2021 as single dose for COVID-19 immunisation. Co-suspect drug SARS-COV-2 VIRUS was reported. Medical history included clinical trial participant. He has not had symptoms associated with COVID-19 and not had a COVID-19 test. The patient''s concomitant medications were not reported. The patient experienced flush hot, generally unwell, and headache on 04Jun2021. He has not tested positive for COVID-19 since having the vaccine. The patient was recovering from flush hot while outcome of other events was not recovered. Case was reported as serious by health authority (hospitalization). No follow-up attempts are needed, information about batch number cannot be obtained. No further information is expected.

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