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From the 9/17/2021 release of VAERS data:

This is VAERS ID 1456704



Case Details

VAERS ID: 1456704 (history)  
Form: Version 2.0  
Age:   
Sex: Male  
Location: Louisiana  
Vaccinated:2021-05-20
Onset:2021-06-01
   Days after vaccination:12
Submitted: 0000-00-00
Entered: 2021-07-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 1 - / -

Administered by: Unknown       Purchased by: ?
Symptoms: Circumstance or information capable of leading to medication error, Haemorrhage subcutaneous, Rash macular
SMQs:, Haemorrhage terms (excl laboratory terms) (narrow), Hypersensitivity (narrow), Medication errors (narrow), Drug reaction with eosinophilia and systemic symptoms syndrome (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021797379

Write-up: Gets black spots and it gets better. He states it is kind of bloody under there; broke out with red spots on quite a bit of his body; Did not take the follow up vaccination; This is a spontaneous report received from a contactable consumer or other non hcp. A male patient of an unspecified age received bnt162b2 (Pfizer vaccine, Formulation: solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on 20May2021 as dose 1, single for covid-19 immunization. The patient medical history and concomitant medications were not reported. On Unspecified date of Jun2021, the patient experienced that he gets black spots and it gets better. he states it is kind of bloody under there, broke out with red spots on quite a bit of his body, did not take the follow up vaccination. Patient did not received treatment for adverse events. Caller didn''t provide his mail address and doesn''t know whether his condition is serious or not. The outcome of the events was unknown. Additional Context: Caller states he is calling about the vaccine, the COVID vaccine. Caller took the first dose of the vaccine on 20May, he states 2 weeks after he broke out with red spots on quite a bit of his body. His doctor said he should come in to let him look at it. He didn''t know the regimen to do anything about it. He still has it though, it gets black spots and it gets better. He states it is kind of bloody under there. Caller states he did not take the follow up vaccination because his doctor recommended him not to. Caller is wondering if he should still have it. He is wondering if he should be able to take the other part of the vaccine. He does not know if he should do something about the spots. Caller states they have not really worsened. He states he does not have too much time, he could could call back at a different time to complete a safety report. The main question he is interested in is to know if doing nothing about these spots, is that alright. Are they going to go away, are they going to cause any damage. Rather than trying to figure out if he can receive the second shot or not. He guesses he has to do what the doctor says, he is seeing him again on the 7th. He didn''t suggest putting anything on them and was not concerned what so ever. He does not know if it is ok for us to contact him should we have further questions about this report. He does go to a doctor and if its a controversy and this is something else. He doesn''t want to be in a situation. Information on the lot/batch, further information has been requested.


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