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VAERS ID: 1995612

AGE: 33| SEX: F|STATE: Unk

Description

Tingling in left arm and left leg; Headache; Dose number 3; This is a spontaneous report from a non-contactable reporter (consumer or non-HCP). The reporter is the patient. A 33-year-old female patient (not pregnant) received bnt162b2 (BNT162B2), administered in left arm, administration date 21Dec2021 at 16:30 (Lot number: FD7218) at the age of 33 years as dose 3 (booster), single for COVID-19 immunisation. The patient's relevant medical history was not reported. Concomitant medications included: LEXAPRO; TOPAMAX and AMOXICILLIN. Vaccination history included: Bnt162b2 (DOSE 1, SINGLE; Anatomical location: left arm; Lot number: EP7533), administration date: 05Apr2021, when the patient was 32 years old, for COVID-19 immunisation and Bnt162b2 (DOSE 2, SINGLE; Anatomical location: left arm; Lot number: EW0171), administration date: 26Apr2021, when the patient was 32 years old, for COVID-19 immunisation. The following information was reported: IMMUNISATION (non-serious) with onset 21Dec2021 at 16:30, outcome "unknown", described as "Dose number 3"; PARAESTHESIA (non-serious) with onset 21Dec2021 at 17:30, outcome "unknown", described as "Tingling in left arm and left leg"; HEADACHE (non-serious) with onset 21Dec2021 at 17:30, outcome "unknown", described as "Headache". Therapeutic measures were not taken as a result of paraesthesia and headache. Additional information: The patient did not receive any other vaccines within four weeks prior to the COVID-19 vaccine. No follow-up attempts are possible. No further information is expected.

Symptoms

Headache, Immunisation, Paraesthesia

Vaccines

VAX DATE: 20 December 2021 | ONSET DATE: 20 December 2021 | DAYS TO ONSET: 0
Vaccine TypeManufacturerVaccine NameDoseRouteSiteLot
  • COVID19
  • PFIZERBIONTECH
  • COVID19 (COVID19 (PFIZER-BIONTECH))
  • 3
  • LA
  • FD7218

RECVDATE:
30 December 2021
CAGE_YR:
CAGE_MO:
RPT_DATE:
DIED:
DATEDIED:
L_THREAT:
ER_VISIT:
HOSPITAL:
HOSPDAYS:
X_STAY:
DISABLE:
RECOVD:
U
LAB_DATA:
V_ADMINBY:
PHM
OTHER_MEDS:
LEXAPRO; TOPAMAX; AMOXICILLIN
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:
USPFIZER INC202101845079
FORM_VERS:
2
TODAYS_DATE:
26 December 2021
BIRTH_DEFECT:
OFC_VISIT:
ER_ED_VISIT:
ALLERGIES:
V_FUNDBY:
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