VAERS ID: 908293

AGE: 47| SEX: F|STATE: AZ (United States)

Description

Left arm start swelling at the injection site and down to the elbow around 5:30pm; This is a spontaneous report from a contactable consumer reporting for herself. A 47-years-old female patient received bnt162b2 (BNT162B2; Lot #Eh9899) vaccine, via an unspecified route of administration in the left arm on 20Dec2020 10:00 at single dose for covid-19 immunisation . Medical history included hypertension from an unknown date , migraine from an unknown date , partial seizures from an unknown date , intracranial aneurysm from an unknown date. Concomitant medication included spironolactone (SPIRONOLACTONE), hydrochlorothiazide, triamterene (TRIAMTERENE & HCTZ), estradiol (ESTRADIOL). The patient was allergic to lisinopril , amlodipine , gentamicin sulfate; methylmethacrylate;polymethylmethacrylate;zirconium dioxide , zonisamide . The patient left arm start swelling at the injection site and down to the elbow around 5:30pm with outcome of recovering.

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Symptoms

Injection site swelling

Vaccines

VAX DATE: 12-20-2020| ONSET DATE: 12-20-2020| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 0 COVID19 PFIZER\BIONTECH EH9899 LA

RECVDATE:12-24-2020
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:; TRIAMTERENE & HCTZ;
CUR_ILL:
HISTORY:Medical History/Concurrent Conditions: Aneurysm cerebral; Blood pressure high; Focal seizures; Migraine
PRIOR_VAX:
SPLTTYPE:USPFIZER INC2020503667
FORM_VERS:
TODAYS_DATE:12-23-2020
BIRTH_DEFECT:U
OFC_VISIT:U
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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