National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

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

This is VAERS ID 1486375



Case Details

VAERS ID: 1486375 (history)  
Form: Version 2.0  
Age: 26.0  
Sex: Female  
Location: Michigan  
Vaccinated:2021-06-28
Onset:2021-07-08
   Days after vaccination:10
Submitted: 0000-00-00
Entered: 2021-07-20
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EW0196 / 1 LA / -

Administered by: Pharmacy       Purchased by: ?
Symptoms: Chest pain, Headache, Hypoaesthesia, Hypoaesthesia oral, Limb discomfort
SMQs:, Peripheral neuropathy (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Guillain-Barre syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (broad), Cardiomyopathy (broad), Sexual dysfunction (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? Yes
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Penicillin allergy
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021887714

Write-up: had very heavy legs; a sharp and constant pain in my chest; my arms, legs and mouth have gone numb; my arms, legs and mouth have gone numb; had a very bad headache; This is a spontaneous report from a contactable consumer (patient). A 27-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection; lot number: EW0196 and expiration date: not reported), via an unspecified route of administration, in Left arm, on 28Jun2021 at 11:30 (at the age of 26-year-old), as DOSE 1, SINGLE for covid-19 immunization at Pharmacy or Drug Store. Medical history included penicillin allergy. The patient''s concomitant medications were not reported however it reported that the patient received an unspecified antibiotic within 2 weeks of vaccination. The patient was not pregnant at time of vaccination. The patient didn''t receive any other vaccines within 4 weeks prior to the COVID -19 vaccine. Prior to vaccination, patient was not diagnosed with COVID-19. After the vaccination patient has not been tested for COVID-19. On 08Jul2021, the patient had very heavy legs, a sharp and constant pain in chest, her arms, legs and mouth have gone numb and have had a very bad headache. No treatment was taken as a result of events. It was reported that events result in doctor or other healthcare professional office/clinic visit. The outcome of the events was not recovered at time of report.


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=1486375


Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166