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This is VAERS ID 1738747

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/15/2021

VAERS ID: 1738747
VAERS Form:2
Age:
Sex:Female
Location:Foreign
Vaccinated:2021-09-10
Onset:2021-09-12
Submitted:0000-00-00
Entered:2021-09-28
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH - / 2 - / -

Administered by: Other      Purchased by: ??
Symptoms: Temporomandibular joint syndrome, SARS-CoV-2 test

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: FLUOXETINE
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Depression
Allergies:
Diagnostic Lab Data: Test Name: COVID-19 virus test; Test Result: Negative ; Comments: No - Negative COVID-19 test
CDC 'Split Type': GBPFIZER INC202101205329

Write-up: TMJ syndrome; This is a spontaneous report from a contactable consumer. This is a report received from the regulatory Authority report number GB-MHRA-WEBCOVID-202109131539146870-PGX42, Safety Report Unique Identifier GB-MHRA-ADR 25932518. A 25-year-old female patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration on 10Sep2021, as a single dose for COVID-19 immunisation. Medical history included depression. The patient has not had symptoms associated with COVID-19 and was not enrolled in clinical trial. The patient was not breastfeeding at the time of this report. Concomitant medications included fluoxetine (MANUFACTURER UNKNOWN) for depression from an unknown date and unknown if ongoing. On 12Sep2021, 2 days after the vaccination, the patient experienced temporomandibular joint (TMJ) syndrome, reported as serious for being medically significant. On an unknown date, the patient underwent COVID-19 virus test and the result was negative. The patient has not tested positive for COVID-19 since having the vaccine. The clinical outcome of the event TMJ syndrome was resolving at the time of this report. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

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