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VAERS Report 2095805

Case Report Section

Vaer Report Details

Age: 27 years old

Gender: Female

State: Georgia

Patient Died?
No
Vaccine information

Name: COVID19 (COVID19 (PFIZER-BIONTECH))

Type: Coronavirus 2019 vaccine

Manufacturer: PFIZER

Lot: fj5683


Date report was received
2022-02-08
Date form completed
Date Vaccinated
2022-01-31
Date of Onset
0
Number of days (onset date – vaccination date)
0
Adverse Event Description

patient reported increased nausea & headaches beginning appx. 2 hours after injection. condition worsened into fever, joint pain & aches, chest pain & shortness of breathing over the next several days. fever has abated at time of reporting (8 days post injection), although, aches, pain & shortness of breath remain

Lab Data
na
List of symptoms
nausea headache arthralgia chest pain pain dyspnoea pyrexia
Patient Died?
No
Date Died
NA
Birth defect
false
Vaccine Administered By:
Pharmacy or store
Vaccine Purchased By:
Unknown
Patient visit ER?
No
Patient Hospitalized?
No
Stay in hospital
No
Days in hospital
Unspecified
Permanent disability?
No
Allergies:
amoxicillin; penicillin; doxycycline; stone fruits; red & green peppers; tomatoes; eggplant; rosemary; thyme; milk; citrus; green apples
Current Illness
genetic fatty liver disease; underactive thyroid