VAERS ID: 918772

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

Description

short of breath; Intense headache; tiredness; body aches; This is a spontaneous report from a contactable other healthcare professional (patient). A 47-year-old female patient (not pregnant) received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot number: ELO124), via an unspecified route of administration on 23Dec2020 at 14:30 on Left arm at single dose for COVID-19 immunization in hospital. The patient medical history included Rheumatoid arthritis, lupus. No known allergy, no allergies to medications, food, or other products. Prior to vaccination, patient was not diagnosed with COVID-19. Concomitant medications included baricitinib (OLUMIANT), hydroxychloroquine, prednisone. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient experienced Intense headache, tiredness, body aches, short of breath on 24Dec2020; events were resulted in: Doctor or other healthcare professional office/clinic visit. Since the vaccination, patient had been tested for COVID-19 on 27Dec2020: Nasal Swab, result was unknown. No treatment was received for the events. The outcome of the events was not recovered.

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Symptoms

Headache, Dyspnoea, Pain, Fatigue, SARS-CoV-2 test

Vaccines

VAX DATE: 12-23-2020| ONSET DATE: 12-24-2020| DAYS TO ONSET: 1
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH ELO124 LA

RECVDATE:01-04-2021
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:Test Date: 20201227; Test Name: covid test type post vaccination: Nasal Swab; Result Unstructured Data: Test Result:Unknown Results; Comments: Nasal Swab
V_ADMINBY:PVT
OTHER_MEDS:OLUMIANT; ;
CUR_ILL:
HISTORY:Medical History/Concurrent Conditions: Lupus erythematosus systemic; Rheumatoid arthritis
PRIOR_VAX:
SPLTTYPE:USPFIZER INC2020514088
FORM_VERS:
TODAYS_DATE:01-04-2021
BIRTH_DEFECT:U
OFC_VISIT:Y
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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