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This is VAERS ID 1486375

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1486375
VAERS Form:2
Age:26.0
Sex:Female
Location:Michigan
Vaccinated:2021-06-28
Onset:2021-07-08
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

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? 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.

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