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From the 9/10/2021 release of VAERS data:

This is VAERS ID 1442615



Case Details

VAERS ID: 1442615 (history)  
Form: Version 2.0  
Age: 42.0  
Sex: Male  
Location: Pennsylvania  
Vaccinated:2021-05-27
Onset:2021-06-01
   Days after vaccination:5
Submitted: 0000-00-00
Entered: 2021-07-02
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0178 / 1 LA / OT

Administered by: Pharmacy       Purchased by: ?
Symptoms: Blood test, Body temperature, Chest X-ray, Computerised tomogram, Fatigue, Headache, Pyrexia, SARS-CoV-2 test
SMQs:, Neuroleptic malignant syndrome (broad), Anticholinergic syndrome (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: GABAPENTIN; SEROQUEL; CHLOROQUINE
Current Illness:
Preexisting Conditions: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None, Comment: None
Allergies:
Diagnostic Lab Data: Test Date: 20210607; Test Name: Blood work; Result Unstructured Data: Test Result:normal; Test Date: 20210601; Test Name: Fever; Result Unstructured Data: Test Result:102; Test Date: 20210608; Test Name: Fever; Result Unstructured Data: Test Result:102.6; Test Date: 20210607; Test Name: chest X-ray; Result Unstructured Data: Test Result:normal; Test Date: 20210607; Test Name: CT Scan; Result Unstructured Data: Test Result:normal; Test Date: 20210605; Test Name: Covid test; Test Result: Negative ; Comments: Nasal Swab; Test Date: 20210607; Test Name: Covid test; Test Result: Negative ; Comments: Nasal Swab
CDC Split Type: USPFIZER INC2021665116

Write-up: fever of 102, fever was getting higher as 102.6; fatigue; headaches; This is a spontaneous report from a contactable consumer (patient) from Pfizer sponsored program COVAX US Support. This 42-year-old male patient received the first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via intramuscular in left arm on 27May2021 at 14:00, at patient age of 46-year-old, as single dose (Lot number EW0178, Expiry Date: Aug 2021) for COVID-19 immunization. The patient was not diagnosed with COVID-19 prior to vaccination. The patient had no other medical history and no known allergies. The patient''s concomitant medications included gabapentin, quetiapine fumarate (SEROQUEL), chloroquine. The patient had no past drug reaction. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient experienced the adverse events from 01Jun2021. The patient got a high fever of 102 which had lasted a week and it was not getting any better. The patient also experienced headache and fatigue. The patient went to the emergency room on 07Jun2021, where they did blood work and a chest X-ray and a CT scan. Everything came back normal and they can not figure out why he had this persistent high fever. The patient wanted to know how long this is going to last or what was going on. On 08Jun2021, the patient reported fever was getting higher as 102.6. It was going up little more everyday. The events resulted in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care. Covid test post vaccination included Rapid test on 05Jun2021 showed negative (Nasal Swab); Non rapid test on 07Jun2021 showed negative (Nasal Swab). The patient received treatment including paracetamol (ACETAMINOPHEN), ibuprofen (MOTRIN), Ibuprofen. The outcome of the events was not resolved.


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