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This is VAERS ID 1721139

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First Appeared on 10/8/2021

VAERS ID: 1721139
VAERS Form:2
Age:42.0
Sex:Female
Location:Foreign
Vaccinated:2021-09-04
Onset:2021-09-04
Submitted:0000-00-00
Entered:2021-09-22
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FF5357 / 1 - / -

Administered by: Other      Purchased by: ??
Symptoms: Chest discomfort, Heart rate, Hypoaesthesia, Oxygen saturation, Oropharyngeal discomfort, Vital signs measurement, Blood pressure measurement

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
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: Medical History/Concurrent Conditions: Food allergy
Allergies:
Diagnostic Lab Data: Test Date: 20210904; Test Name: BP; Result Unstructured Data: Test Result:128/83; Test Date: 20210904; Test Name: BP; Result Unstructured Data: Test Result:123/63; Test Date: 20210904; Test Name: PR; Result Unstructured Data: Test Result:77; Test Date: 20210904; Test Name: PR; Result Unstructured Data: Test Result:72; Test Date: 20210904; Test Name: SPO2; Test Result: 98 %; Test Date: 20210904; Test Name: SPO2; Test Result: 98 %; Test Date: 20210904; Test Name: vital; Result Unstructured Data: Test Result:no problem
CDC 'Split Type': JPPFIZER INC202101163157

Write-up: numbness of fingers of both hands/ numbness of fingers; Chest pressure sensation; throat clogged; This is a spontaneous report from a contactable physician (vaccinator) received from the regulatory authority . Regulatory authority report number is v21125957. A 42-year-old female patient received bnt162b2 (COMIRNATY), dose 1 via an unspecified route of administration on 04Sep2021 10:00 (Lot Number: FF5357; Expiration Date: 30Nov2021) as single for COVID-19 immunization. Medical history included food allergy from an unknown date and unknown if ongoing. The patient''s concomitant medications were not reported. The patient was a 42-year-old (age at vaccination) female. The patient had medical history of food allergy. On 04Sep2021 at 10:00 (the day of vaccination), the patient received the first dose of bnt162b2 (COMIRNATY, Solution for injection, Lot number FF5357, Expiration date 30Nov2021) via an unspecified route of administration as a single dose for COVID-19 immunization. The event onset date/time was reported as 04Sep2021 at 10:00 (0 minute after the vaccination, as reported). On 04Sep2021 (the same day of the vaccination), the outcome of the events was recovered. The course of the events was as follows: 15 minutes after the vaccination (as reported), numbness of fingers of both hands, and chest pressure sensation occurred. Skin eruption was not recognized. BP 128/83, PR 77, SPO2 98%, so vital showed no problem. Then, POLARAMINE was administrated. After that, the symptoms improved. At 11:35, the second time of vital signs measurement resulted in BP 123/63, PR 72, SPO2 98%. Throat clogged and numbness of fingers occurred. Lactec infusion was administrated. At 13:30, the patient was told the condition was stable. Then, the patient went home. The reporting physician (vaccinator) classified the events as non-serious and assessed that the events were related to bnt162b2. There was no other possible cause of the events such as any other diseases.

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