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This is VAERS ID 1424956

History of Changes from the VAERS Wayback Machine

First Appeared on 6/25/2021

VAERS ID: 1424956
VAERS Form:2
Age:17.0
Sex:Male
Location:Foreign
Vaccinated:2021-06-03
Onset:2021-06-03
Submitted:0000-00-00
Entered:2021-06-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FC1526 / 1 LA / OT

Administered by: Other      Purchased by: ??
Symptoms: Feeling hot, Hyperhidrosis, Syncope, Tremor, Blood pressure measurement

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Allergic bronchospasm; Allergic rhinoconjunctivitis; Food allergy
Allergies:
Diagnostic Lab Data: Test Date: 20210603; Test Name: Blood pressure; Result Unstructured Data: Test Result:80/60 mmHg
CDC 'Split Type': ITPFIZER INC2021674442

Write-up: After a few minutes from the administration of the vaccine, profuse sweating, syncope, tremors in the limbs. Spontaneous recovery. Patient reports feeling of heat.; After a few minutes from the administration of the vaccine, profuse sweating, syncope, tremors in the limbs. Spontaneous recovery. patient reports feeling of heat.; After a few minutes from the administration of the vaccine, profuse sweating, syncope, tremors in the limbs. Spontaneous recovery. Patient reports feeling of heat.; After a few minutes from the administration of the vaccine, profuse sweating, syncope, tremors in the limbs. Spontaneous recovery. Patient reports feeling of heat.; This is a spontaneous report from a contactable physician downloaded from the Regulatory Authority-WEB, regulatory authority number IT-MINISAL02-739547. A 17-year-old male patient received bnt162b2 (COMIRNATY), dose 1 intramuscular, administered in Arm Left (reported as left shoulder) on 03Jun2021 (Lot Number: FC1526; Expiration Date: 30Sep2021) as 0.3 ML SINGLE (at the age of 17-years-old) for COVID-19 immunization. Medical history included Allergic bronchospasm and Allergic rhinoconjunctivitis both from an unknown date and unknown if ongoing, and food allergy. There were no concomitant medications. The patient experienced after a few minutes from the administration of the vaccine, profuse sweating, syncope, tremors in the limbs. Spontaneous recovery. Patient reports feeling of heat, all on 03Jun2021. The patient was hospitalized for the events. Actions taken (Administration of intravenosus= i.v. physiological solution). The patient underwent lab tests and procedures which included blood pressure measurement: 80/60 mmHg on 03Jun2021. The outcome of the events was recovered on 04Jun2021. Reporter comment: Blood pressure= PA detected 80/60 mmHg. Polyallergic patient to inhalants (rhinoconjunctivitis and episodic bronchospasm). Previous food allergy. No known drug allergies. No concomitant medication intake. No follow-up attempts are possible. No further information is expected.; Reporter''s Comments: PA detected 80/60 mmHg. Polyallergic patient to inhalants (rhinoconjunctivitis and episodic bronchospasm). Previous food allergy. No known drug allergies. No concomitant medication intake.

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