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This is VAERS ID 1743172

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History of Changes from the VAERS Wayback Machine

First Appeared on 10/15/2021

VAERS ID: 1743172
VAERS Form:2
Age:21.0
Sex:Female
Location:Foreign
Vaccinated:2021-09-11
Onset:2021-09-11
Submitted:0000-00-00
Entered:2021-09-29
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH FF2782 / 1 - / -

Administered by: Other      Purchased by: ??
Symptoms: Blood pressure decreased, Body temperature, Body temperature decreased, Heart rate, Hyperhidrosis, Oxygen saturation, Pallor, Pyrexia, 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: Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None
Allergies:
Diagnostic Lab Data: Test Date: 20210911; Test Name: BP; Result Unstructured Data: Test Result:100/60; Comments: at sitting position 14:52; Test Date: 20210911; Test Name: BP; Result Unstructured Data: Test Result:11illegible number/70; Comments: at 14:57; Test Date: 20210911; Test Name: BP; Result Unstructured Data: Test Result:120/68; Comments: at 15:18; Test Date: 20210911; Test Name: BP; Result Unstructured Data: Test Result:114/60; Comments: at 16:00; Test Date: 20210911; Test Name: body temperature; Result Unstructured Data: Test Result:36.6 Centigrade; Comments: Before vaccination.; Test Date: 20210911; Test Name: body temperature; Result Unstructured Data: Test Result:35.4 Centigrade; Test Date: 20210911; Test Name: body temperature; Result Unstructured Data: Test Result:37.4 Centigrade; Comments: at 16:00; Test Date: 20210911; Test Name: P; Result Unstructured Data: Test Result:78; Comments: 14:52; Test Date: 20210911; Test Name: P; Result Unstructured Data: Test Result:97; Test Date: 20210911; Test Name: P; Result Unstructured Data: Test Result:78; Comments: at 15:18; Test Date: 20210911; Test Name: SpO2; Test Result: 96 %; Comments: at 15:0illegible time; Test Date: 20210911; Test Name: SpO2; Test Result: 99 %; Comments: at 15:18
CDC 'Split Type': JPPFIZER INC202101223091

Write-up: 37.4 centigrade; 35.4 centigrade; BP at sitting position was 100/60; pallor facial; Sweaty; This is a spontaneous report from a contactable other health professional received from the regulatory authority. Regulatory authority report number is v21126731. A 21-year-old (reported as 21-year and 3-month-old) female patient received first dose of bnt162b2 (COMIRNATY, Batch/Lot Number: FF2782; Expiration Date: 30Nov2021), via an unspecified route of administration on 11Sep2021 at 14:40 at 21-year-old as single dose for covid-19 immunisation. Body temperature before vaccination was 36.6 degrees Centigrade. There were no points to be considered on the vaccine screening questionnaire (primary diseases, allergies, vaccinations and illnesses within the last one month, medications the patient was taking, past adverse effect history, growth status). On 11Sep2021 at 14:50 (10 minutes after the vaccination), the patient experienced sweaty and pallor facial. The course of the event was as follows: On 11Sep2021 at 14:40, the 1st vaccination against Novel Coronavirus was performed. At 14:50, sweaty and pallor facial. At 14:52, BP at sitting position was 100/60, P 78. At 14:57, BP 11(illegible number)/70, the patient lied down on a bed and was treated with LACTEC 500 ml. At 15:00, the consciousness was lucid, and the patient could respond. At 15:0(illegible time), SpO2 96%, P 97, 35.4 centigrade. At 15:18, BP 120/68, SpO2 99%, P 78. At 16:00, BP 114/60, 37.4 centigrade. On 11Sep2021 (the day of vaccination), the outcome of the events was recovered. The reporting other health professional classified the event as non-serious and assessed the causality between the event and bnt162b2 as unassessable. There was no other possible cause of the event such as any other diseases. The reporting other health professional commented as follows: The patient was strained prior to the vaccination.

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