VAERS ID: 1725625

AGE: 41| SEX: F|STATE: VA (United States)

Description

Pain in left neck from shoulder to ear for 48 hours; Diarrhea; Swollen & Numb lips; Swollen & Numb lips; This is a spontaneous report from a contactable consumer, the patient. A 41-year-old non-pregnant female patient received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: 3182) via an unspecified route of administration in the left arm on 30Aug2021 at 18:15 (at the age of 41-years-old) as a single dose for COVID-19 immunisation. The patient's medical history reported as not applicable. The patient had no known allergies. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. Concomitant medications were reported as N/A. On 30Aug2021 at 20:00, the patient experienced pain in left neck from shoulder to ear for 48 hours, diarrhea for 24 hours and swollen and numb lips for 48 hours. The events did not result in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care. Therapeutic measures were not taken as a result of the events. Since the vaccination, the patient had not been tested for COVID-19. The clinical outcome of the event diarrhea was resolved on 31Aug2021, after the duration of 24 hours; while that of the events pain in left neck from shoulder to ear and swollen and numb lips were resolved on 01Sep2021, after the duration of 48 hours.

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Symptoms

Neck pain, Diarrhoea, Lip swelling, Hypoaesthesia oral

Vaccines

VAX DATE: 08-30-2021| ONSET DATE: 08-30-2021| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH 3182 LA

RECVDATE:09-23-2021
RPT_DATE:
CAGE_YR:
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:Y
LAB_DATA:
V_ADMINBY:PHM
OTHER_MEDS:
CUR_ILL:
HISTORY:Comments: List of non-encoded Patient Relevant History: Patient Other Relevant History 1: None
PRIOR_VAX:
SPLTTYPE:USPFIZER INC202101233904
FORM_VERS:
TODAYS_DATE:09-22-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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