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This is VAERS ID 1493242

History of Changes from the VAERS Wayback Machine

First Appeared on 7/23/2021

VAERS ID: 1493242
VAERS Form:2
Age:14.0
Sex:Unknown
Location:Texas
Vaccinated:2021-07-08
Onset:2021-07-08
Submitted:0000-00-00
Entered:2021-07-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / UNK - / -

Administered by: Unknown      Purchased by: ??
Symptoms: Body temperature, Malaise, Pyrexia, Vaccination site pain

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:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: Test Name: body temperature; Result Unstructured Data: Test Result:37.7 ?C
CDC 'Split Type': USPFIZER INC2021875528

Write-up: Pain in the injection site; Fever of 37.7 ?C; Malaise; This is a spontaneous report from a contactable consumer. This is one of the two reports. A 14-years-old patient of an unspecified gender received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on 08Jul2021 (reported as yesterday noon) (age at vaccination: 14 years) as DOSE NUMBER UNKNOWN, SINGLE for covid-19 immunization. Medical history and concomitant medications were not reported. On 08Jul2021 at night, the patient had malaise. On 09Jul2021, the patient experienced pain in the injection site, and fever of 37.7 degree c. The patient underwent body temperature test which was 37.7 degree C. The patient was given paracetamol as treatment for the events. The outcome of the events was unknown. Information on lot /batch number has been requested.; Sender''s Comments: Linked Report(s) : US-PFIZER INC-2021868661 same reporter/ drug, different AE/patient

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