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VAERS ID: 1995611

AGE: 53| SEX: M|State: MA

Description

Left underarm swelled with mild sensitivity; Left underarm swelled with mild sensitivity; Pain and stiffness from front of left shoulder to bicep; Pain and stiffness from front of left shoulder to bicep; Pain and stiffness from front of left shoulder to bicep; Pain and stiffness from front of left shoulder to bicep; booster; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient. A 53 year-old male patient received bnt162b2 (BNT162B2), administered in arm left, administration date 13Dec2021 09:00 (Lot number: FJ8757) at the age of 53 years as dose 3 (booster), single for covid-19 immunisation. Relevant medical history included: "known allergies: Bee sting" (unspecified if ongoing), notes: known allergies: Bee sting. The patient's concomitant medications were not reported. Vaccination history included: Bnt162b2 (Dose Number: 2, Batch/Lot No: EL3247, Location of injection: Arm Left, Vaccine Administration Time: 03:30 PM), administration date: 22Feb2021, for COVID-19 immunization; Bnt162b2 (Dose Number: 1, Batch/Lot No: EL3247, Location of injection: Arm Right, Vaccine Administration Time: 04:00 PM), administration date: 03Feb2021, for Covid-19 immunization. The following information was reported: IMMUNISATION (non-serious) with onset 13Dec2021, outcome "unknown", described as "booster"; PERIPHERAL SWELLING (non-serious), SENSITISATION (non-serious) all with onset 16Dec2021 08:00, outcome "recovering" and all described as "Left underarm swelled with mild sensitivity"; ARTHRALGIA (non-serious), MUSCULOSKELETAL STIFFNESS (non-serious), MYALGIA (non-serious), MUSCULOSKELETAL STIFFNESS (non-serious) all with onset 16Dec2021 08:00, outcome "recovering" and all described as "Pain and stiffness from front of left shoulder to bicep". Therapeutic measures were not taken as a result of peripheral swelling, sensitisation, arthralgia, musculoskeletal stiffness, myalgia, musculoskeletal stiffness. Additional information: The patient did not covid prior to vaccination and covid was not tested post vaccination. The patient did not take other vaccine in four weeks and other medication in two weeks. No follow-up attempts are needed. No further information is expected.

Symptoms

Arthralgia, Sensitisation, Immunisation, Musculoskeletal stiffness, Myalgia, Peripheral swelling

Vaccines

VAX DATE: 12 December 2021 | ONSET DATE: 12 December 2021 | DAYS TO ONSET: 0
Vaccine TypeManufacturerVaccine NameDoseRouteSiteLot
  • COVID19
  • PFIZERBIONTECH
  • COVID19 (COVID19 (PFIZER-BIONTECH))
  • 3
  • LA
  • FJ8757

RECVDATE:
30 December 2021
CAGE_YR:
CAGE_MO:
RPT_DATE:
DIED:
DATEDIED:
L_THREAT:
ER_VISIT:
HOSPITAL:
HOSPDAYS:
X_STAY:
DISABLE:
RECOVD:
N
LAB_DATA:
V_ADMINBY:
PHM
OTHER_MEDS:
CUR_ILL:
HISTORY:
Medical History/Concurrent Conditions: Insect sting allergy (known allergies: Bee sting)
PRIOR_VAX:
SPLTTYPE:
USPFIZER INC202101844779
FORM_VERS:
2
TODAYS_DATE:
26 December 2021
BIRTH_DEFECT:
OFC_VISIT:
ER_ED_VISIT:
ALLERGIES:
V_FUNDBY:
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