VAERS ID: 936386

AGE: 50| SEX: F|STATE: MN (United States)

Description

Severe nausea; headache; sore throat; sweating with chills; sweating with chills; chest pain; injection site soreness; shaking hands; This is a spontaneous report from a contactable other HCP reported for herself. A 50-year-old female patient received first dose of BNT162B2 (lot number: ej1686), via intramuscular in right arm, on 05Jan2021 06:30 AM at single dose for COVID-19 immunization. The patient was not pregnant at the time of vaccination. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, patient hasn't been tested for COVID-19. Medical history included Known allergies: sulfa antibiotics, avascular necrosis, multiple joint replacements, anticoagulation, chronic pain, multiple hospitalizations in 2020 for diverticulitis. Facility where the most recent COVID-19 vaccine was administered was hospital. No other vaccines was received within 4 weeks prior to the COVID vaccine. Concomitant medications which patient received within 2 weeks of vaccination included warfarin, oxycodone, linaclotide (LINZESS), cyanocobalamin (VIT B12), ergocalciferol (VIT D) and iron. The patient experienced severe nausea, headache, sore throat, sweating with chills, chest pain, injection site soreness, shaking hands on 05Jan2021 07:00 AM. The events resulted in doctor or other healthcare professional office/clinic visit. No treatment was received for the events. The outcome of the events was recovering.

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Symptoms

Chills, Headache, Nausea, Hyperhidrosis, Tremor, Chest pain, Oropharyngeal pain, Vaccination site pain

Vaccines

VAX DATE: 01-05-2021| ONSET DATE: 01-05-2021| DAYS TO ONSET: 0
NameDose #TypeManufacturerLotRouteSite
COVID19 (COVID19 (PFIZER-BIONTECH)) 1 COVID19 PFIZER\BIONTECH EJ1686 OT RA

RECVDATE:01-12-2021
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:
V_ADMINBY:PVT
OTHER_MEDS:; ; LINZESS; VIT B12; VIT D;
CUR_ILL:
HISTORY:Medical History/Concurrent Conditions: Avascular necrosis; Chronic pain; Clotting disorder (anticoagulation); Diverticulitis (multiple hospitalizations in 2020 for diverticulitis); Hospitalization (multiple hospitalizations in 2020 for diverticulitis); Joint replacement (multiple joint replacements); Sulfonamide allergy (known allergies: sulfa antibiotics)
PRIOR_VAX:
SPLTTYPE:USPFIZER INC2021007890
FORM_VERS:
TODAYS_DATE:01-10-2021
BIRTH_DEFECT:U
OFC_VISIT:Y
ER_ED_VISIT:U
ALLERGIES:
V_FUNDBY:

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