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VAERS Report 2156796

Case Report Section

Vaer Report Details

Age: NA

Gender: Female

State: Outside US

Patient Died?
No
Vaccine information

Name: COVID19 (COVID19 (PFIZER-BIONTECH))

Type: Coronavirus 2019 vaccine

Manufacturer: PFIZER

Lot: unknown


Date report was received
2022-03-04
Date form completed
Date Vaccinated
2021-09-01
Date of Onset
15
Number of days (onset date – vaccination date)
15
Adverse Event Description

depression; nosebleed; this is a spontaneous report received from a contactable reporter (other hcp) from the ra. regulatory number: gb-mhra-webcovid-202202171223327480-5dgs3. other case identifier: gb-mhra-adr 26612779. a female patient received bnt162b2 (comirnaty), administration date 01sep2021 (batch/lot number: unknown) as dose 1, single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. the following information was reported: epistaxis (disability) with onset 16sep2021, outcome "recovered with sequelae", described as "nosebleed"; depression (disability) with onset 01oct2021, outcome "not recovered", described as "depression". clinical course: patient has not had symptoms associated with covid-19. patient was not enrolled in clinical trial. patient has not had symptoms associated with covid-19. no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected.; sender's comments: linked report(s) : gb-pfizer inc-202200311535 same patient, different events/doses;gb-pfizer inc-202200311534 same patient, different events/doses

Lab Data
na
List of symptoms
depression epistaxis
Patient Died?
No
Date Died
NA
Birth defect
false
Vaccine Administered By:
Other
Vaccine Purchased By:
Unknown
Patient visit ER?
No
Patient Hospitalized?
No
Stay in hospital
No
Days in hospital
Unspecified
Permanent disability?
Yes
Allergies:
na
Current Illness
na