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This is VAERS ID 1483481

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1483481
VAERS Form:2
Age:72.0
Sex:Female
Location:North Carolina
Vaccinated:2021-07-01
Onset:2021-07-01
Submitted:0000-00-00
Entered:2021-07-18
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0187 / 2 RA / -

Administered by: Unknown      Purchased by: ??
Symptoms: Chills, Influenza like illness, Myalgia, Pain in extremity, Pyrexia, Feeling of body temperature change

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:
Current Illness: Multiple sclerosis
Preexisting Conditions: Medical History/Concurrent Conditions: Heart disorder
Allergies:
Diagnostic Lab Data:
CDC 'Split Type': USPFIZER INC2021831983

Write-up: Second dose: muscle soreness and muscle pain; Second dose: flu-like symptoms, hot and cold, chills and fever; Second dose: flu-like symptoms, hot and cold, chills and fever; Second dose: flu-like symptoms, hot and cold, chills and fever; Second dose: flu-like symptoms, hot and cold, chills and fever; Second dose: arm soreness; This is a spontaneous report from a contactable nurse (patient). A 72-years-old female patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection; Batch/Lot Number: EW0187; NDC number and expiry date was reported as unknown) via an unspecified route of administration on 01Jul2021 at 15:00 (at the age of 72-years-old) in right arm as a single dose for covid-19 immunization. Medical history (including any illness at time of vaccination) included multiple sclerosis from 1980 and ongoing. Family medical history relevant to adverse event was reported as heart disease from an unknown date and unknown if ongoing. No investigation assessment was reported. It was unknown if the patient had SARS-CoV2 antibodies at diagnosis. No information was provided on multiorgan failure or any new/ worsened symptoms/signs during the covid-19 illness experienced (including date of onset/worsening). The patient was not a smoker/former smoker. She was not taking any medications routinely prior to the event being reported. Additional vaccines administered on same date of the Pfizer suspect were reported as none. Prior Vaccinations (within 4 weeks) and list of any other vaccinations within four weeks prior to the first administration date of the suspect vaccine included nothing except for the first shot. The patient''s concomitant medications were not reported. The patient historical vaccine included first dose of BNT162B2 (COVID Pfizer vaccine; lot number: EW0176; NDC number and expiry date was reported as unknown) on 11Jun2021 in right arm for COVID-19 immunization and experienced sore arm. The patient did not have a positive test for SARS-CoV2. The patient experienced flu like symptoms, chills, fever and she was hot and cold on 01Jul2021 at 20:30. She also had muscle soreness and muscle pain on 01Jul2021 at 23:00. She noticed arm soreness before she went to bed, somewhere around 23:00. The events were bothering her. She did not require emergency room and physician office visit. The patient was not hospitalized or admitted to an intensive care unit and she did not require supplemental oxygen. Treatment medication included Tylenol. Relevant tests were reported as none. The outcome of all the events was not resolved.

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