National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts Home
Search Results

From the 11/19/2021 release of VAERS data:

This is VAERS ID 1751089

Government Disclaimer on use of this data

Case Details

VAERS ID: 1751089 (history)  
Form: Version 2.0  
Sex: Female  
Location: Foreign  
   Days after vaccination:1
Submitted: 0000-00-00
Entered: 2021-10-01
Vaccin­ation / Manu­facturer Lot / Dose Site / Route

Administered by: Other       Purchased by: ?
Symptoms: Abdominal pain upper, Dizziness, Headache, Lymphadenopathy, SARS-CoV-2 test
SMQs:, Acute pancreatitis (broad), Anticholinergic syndrome (broad), Gastrointestinal nonspecific symptoms and therapeutic procedures (narrow), Vestibular disorders (broad), Drug reaction with eosinophilia and systemic symptoms syndrome (broad), COVID-19 (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions:
Diagnostic Lab Data: Test Date: 20210914; Test Name: COVID-19 virus test; Test Result: Negative ; Comments: No - Negative COVID-19 test
CDC Split Type: GBPFIZER INC202101226528

Write-up: Stomach cramps; Swollen lymph nodes; Dizziness; Headache; This is a spontaneous report from a contactable consumer or other non hcp received from a Regulatory Authority. The regulatory authority report number is GB-MHRA-WEBCOVID-202109172150263000-DNMTX. Sender''s (Case) Safety Report Unique Identifier is GB-MHRA-ADR 25961701. A 23-year-old non pregnant female patient received BNT162B2 (COVID-19 MRNA VACCINE BIONTECH, Solution for injection), via an unspecified route of administration on 13Sep2021 (Lot number was not reported) as dose 2, single for COVID-19 immunisation. The patient medical history was not reported. Patient has not had symptoms associated with COVID-19. Patient is not currently breastfeeding. The patient''s concomitant medications were not reported. Historical vaccine included first dose of BNT162B2, via an unspecified route of administration on unknown date for COVID-19 immunisation. The patient experienced stomach cramps on 15Sep2021, swollen lymph nodes, dizziness and headache on 14Sep2021. Patient has not tested positive for COVID-19 since having the vaccine. All events are medically significant. Patient is not enrolled in clinical trial. The patient underwent lab tests and procedures which included sars-cov-2 test: negative 14Sep2021, No - Negative COVID-19 test. The outcome of the event swollen lymph nodes was recovered with sequel and not recovered for other events. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.

New Search

Link To This Search Result:

Copyright © 2021 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166