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VAERS ID: 1000330

AGE: 37| SEX: F|State: FR

Description

Rash; Fever; Injection site swelling; Swollen lymph nodes; Dizziness; Headache; Generalized joint pain; Injection site pain; Chills; Tiredness; This is a spontaneous report from a contactable other healthcare professional (HCP) via the Regulatory Agency. Regulatory authority report number GB-MHRA-WEBCOVID-202101191104580320, Safety Report Unique Identifier GB-MHRA-ADR 24613984. A 37-year-old female patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE;lot EE8492) on 04Jan2021 at single dose for covid-19 immunisation. The patient medical history was not reported. Concomitant medication included desogestrel as "the pill" (as reported). Patient was not enrolled in clinical trial. Patient has not had symptoms associated with COVID-19. Patient has not tested positive for COVID-19 since having the vaccine (as reported). On 04Jan2021 the patient experienced chills, tiredness; on 05Jan2021 patient had fever, injection site swelling, swollen lymph nodes, dizziness, headache, generalized joint pain, injection site pain;on 07Jan2021 she had rash. Events were all serious per hospitalization in Jan2021. Once rash started, general practitioner (GP) contacted and recommended hospital. Admitted to hospital and treated with IV fluids, paracetamol and antibiotics. Oxygen also required. COVID-19 virus test on 05Jan2021 was negative. The patient recovered from chills and fever on 11Jan2021; recovered from injection site swelling, swollen lymph nodes, headache and injection site pain on 08Jan2021; recovered from dizziness and generalized joint pain on 09Jan2021; recovered from rash on 13Jan2021 and was recovering from tiredness .No follow-up attempts are possible. No further information is expected.

Symptoms

Arthralgia, Lymphadenopathy, Vaccination site swelling, Chills, Pyrexia, Dizziness, Rash, Fatigue, SARS-CoV-2 test, Headache, Vaccination site pain

Vaccines

VAX DATE: 03 January 2021 | ONSET DATE: 03 January 2021 | DAYS TO ONSET: 0
Vaccine TypeManufacturerVaccine NameDoseRouteSiteLot
  • COVID19
  • PFIZERBIONTECH
  • COVID19 (COVID19 (PFIZER-BIONTECH))
  • UNK
  • EE8492

RECVDATE:
03 February 2021
CAGE_YR:
CAGE_MO:
RPT_DATE:
DIED:
DATEDIED:
L_THREAT:
ER_VISIT:
HOSPITAL:
Y
HOSPDAYS:
X_STAY:
DISABLE:
RECOVD:
N
LAB_DATA:
Test Date: 20210105; Test Name: COVID-19 virus test; Result Unstructured Data: Test Result:No - Negative COVID-19 test
V_ADMINBY:
OTH
OTHER_MEDS:
DESOGESTREL
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:
GBPFIZER INC2021053941
FORM_VERS:
2
TODAYS_DATE:
01 February 2021
BIRTH_DEFECT:
OFC_VISIT:
ER_ED_VISIT:
ALLERGIES:
V_FUNDBY:
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