VAERS ID: 1995612

AGE: 33| SEX: F|STATE: (United States)

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.

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Symptoms

Headache, Paraesthesia, Immunisation

Vaccines

VAX DATE: 12-21-2021| ONSET DATE: 12-21-2021| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 3 COVID19 PFIZER\BIONTECH FD7218 LA

RECVDATE:12-31-2021
RPT_DATE:
CAGE_YR:
CAGE_MO:
DIED:U
DATEDIED:
L_THREAT:U
ER_VISIT:
HOSPITAL:U
HOSPDAYS:
X_STAY:U
DISABLE:U
RECOVD:U
LAB_DATA:
V_ADMINBY:PHM
OTHER_MEDS:LEXAPRO; TOPAMAX; AMOXICILLIN
CUR_ILL:
HISTORY:
PRIOR_VAX:
SPLTTYPE:USPFIZER INC202101845079
FORM_VERS:
TODAYS_DATE:12-27-2021
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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