VAERS ID: 1879680

AGE: 49| SEX: F|STATE: WA (United States)

Description

Mild swelling of lower left eyelid; 1. Pain at injection site (sore upper arm) - immediate onset; This is a spontaneous report from a contactable consumer, the patient. A 49-year-old non pregnant female patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 m-RNA VACCINE, formulation: solution for injection, lot number: EW0176), via an unspecified route of administration, in arm left on 03May2021 18:15 (age at vaccination 49 years) as dose 1, single for covid-19 immunisation. Medical history included allergy to latex, benadryl, wellbutrin. The patient did not have Covid prior vaccination. No other vaccine was taken in four weeks. Concomitant medication(s) included cetirizine hydrochloride (ZYRTEC); ibuprofen; colecalciferol (VIT D); melatonin since an unknown date. The patient experienced Pain at injection site (sore upper arm) - immediate onset on 03May2021 at 18:15 and mild swelling of lower left eyelid beginning approximately 3.5 hours after injection on 03May2021 at 21:45 and lasting about an hour. No treatment was taken for the events. The patient was not tested for Covid post vaccination. The outcome of the event pain at injection site was recovering and for mild swelling of lower left eyelid was recovered on 03May2021. No follow-up attempts are possible. No further information is expected.

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Symptoms

Vaccination site pain, Swelling of eyelid

Vaccines

VAX DATE: 05-03-2021| ONSET DATE: 05-03-2021| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH EW0176 Unknown LA

RECVDATE:11-18-2021
RPT_DATE:
CAGE_YR:
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:N
LAB_DATA:
V_ADMINBY:
OTHER_MEDS:ZYRTEC [CETIRIZINE HYDROCHLORIDE]; IBUPROFEN; VIT D [COLECALCIFEROL]; MELATONIN
CUR_ILL:
HISTORY:Medical History/Concurrent Conditions: Latex allergy (latex, benadryl, wellbutrin)
PRIOR_VAX:
SPLTTYPE:USPFIZER INC2021499362
FORM_VERS:
TODAYS_DATE:11-17-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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