National Vaccine
Information Center

Your Health. Your Family. Your Choice.

MedAlerts.org
Search Results

From the 1/14/2022 release of VAERS data:

This is VAERS ID 929507

Government Disclaimer on use of this data



Case Details

VAERS ID: 929507 (history)  
Form: Version 2.0  
Age: 19.0  
Sex: Male  
Location: New York  
Vaccinated:2021-01-05
Onset:2021-01-05
   Days after vaccination:0
Submitted: 0000-00-00
Entered: 2021-01-08
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (PFIZER-BIONTECH)) / PFIZER/BIONTECH EK5730 / 1 LA / -

Administered by: Private       Purchased by: ?
Symptoms: Dry mouth, Dysgeusia
SMQs:, Taste and smell disorders (narrow), Anticholinergic syndrome (broad), Oropharyngeal conditions (excl neoplasms, infections and allergies) (narrow), Dehydration (broad)

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit? No
ER Visit? No
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications:
Current Illness:
Preexisting Conditions: Medical History/Concurrent Conditions: Asthma
Allergies:
Diagnostic Lab Data:
CDC Split Type: USPFIZER INC2021005583

Write-up: Salt water taste in mouth, lasted strongly 5 min immediately after injection. Got less strong as time went on for approx 45 min after injection; Dry mouth with lasted an addition 30 min; This is a spontaneous report from a contactable consumer (patient himself). This 19-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number EK5730), via an unknown route, on 05Jan2011 at 13:30 at single dose for COVID-19 immunisation. Vaccine location was arm left. Relevant medical history included asthma. No relevant concomitant medications were provided. The patient was vaccinated at hospital, age at vaccination was 19-year-old. No known allergies. No other vaccine was received in four weeks. Post-vaccination COVID test was not performed. The patient had salt water taste in mouth, lasted strongly 5 minutes immediately after injection. Got less strong as time went on for approx 45 minutes after injection. This was followed with dry mouth with lasted an addition 30 minutes. The onset date of the events 05Jan2021 at 13:45 (as reported). The patient was not treated for the events. The patient recovered from the events on 05Jan2021.


New Search

Link To This Search Result:

https://medalerts.org/vaersdb/findfield.php?IDNUMBER=929507


Copyright © 2022 National Vaccine Information Center. All rights reserved.
21525 Ridgetop Circle, Suite 100, Sterling, VA 20166