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This is VAERS ID 1449536

History of Changes from the VAERS Wayback Machine

First Appeared on 7/9/2021

VAERS ID: 1449536
VAERS Form:2
Age:51.0
Sex:Male
Location:Illinois
Vaccinated:2021-06-20
Onset:2021-06-01
Submitted:0000-00-00
Entered:2021-07-06
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0187 / 1 RA / -

Administered by: Pharmacy      Purchased by: ??
Symptoms: Anxiety, Hallucination

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:
Other Medications: CITALOPRAM; TRIFLUOPERAZINE; CLONAZEPAM; LISINOPRIL
Current Illness: Anxiety (Verbatim: Anxiety); Blood pressure high (Started about 20 years ago.); Depression (Verbatim: Depression); Obsessive-compulsive disorder (Verbatim: Obsessive-compulsive disorder)
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': USPFIZER INC2021757029

Write-up: Hallucinations: they happen sometimes, not all the time, and only when he is anxious, after first vaccine.; when his anxiety is high; This is a spontaneous report from a contactable consumer (patient himself). A 51-year-old male patient received BNT162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number- EW0187) via an unspecified route of administration in right upper arm (as reported) on 20Jun2021 10:35 as dose 1, single (at the age of 51-years-old) for COVID-19 immunization. Vaccination Facility Type was reported as pharmacy. Vaccine was not administered at Military Facility. Patient medical history included ongoing high blood pressure from about 20 years ago, ongoing depression from 1996, ongoing anxiety from 1996, ongoing obsessive-compulsive disorder from about 3.5 years ago. The concomitant medications included ongoing citalopram oral tablet at a dose of 40 mg from 1996 taken for antidepressant therapy, ongoing trifluoperazine oral tablet at a dose of 5 mg from 1996 taken for antipsychotic therapy, ongoing clonezapan oral tablet at a dose of 0.5 mg taken for anxiety, started about 5 years ago, ongoing lisinopril oral tablet taken for high blood pressure started about 15 years ago. On an unspecified date in Jun2021, patient stated his hallucinations began after the vaccine, stated they happened sometimes, not all the time, and only when he was anxious after 1st vaccine. Patient stated the hallucinations were somewhat better. The adverse events did not result in physician office visit or emergency room visit. The outcome of the events was recovering.

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