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VAERS Report 2156808

Case Report Section

Vaer Report Details

Age: NA

Gender: Male

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
2022-02-15
Date of Onset
0
Number of days (onset date – vaccination date)
0
Adverse Event Description

shortness of breath; headache; sore throat; leg cramps; tiredness; eye pain; low mood; appetite lost; this is a spontaneous report received from a contactable reporter (consumer) from the regulatory auhtority. regulatory number: gb-mhra-webcovid-202202171626168250-nkabj. other case identifier: gb-mhra-adr 26614034. a 28-year-old male patient received bnt162b2 (comirnaty), administration date 15feb2022 (lot number: unknown) as dose 3 (booster), single for covid-19 immunisation. the patient's relevant medical history and concomitant medications were not reported. vaccination history included: bnt162b2 (as dose 1, single), for covid-19 immunisation and bnt162b2 (as dose 2, single), for covid-19 immunisation. the following information was reported: dyspnoea (medically significant) with onset feb2022, outcome "recovering", described as "shortness of breath"; headache (medically significant) with onset feb2022, outcome "recovering", described as "headache"; oropharyngeal pain (medically significant) with onset feb2022, outcome "recovering", described as "sore throat"; muscle spasms (medically significant) with onset feb2022, outcome "recovered" (feb2022), described as "leg cramps"; fatigue (medically significant) with onset feb2022, outcome "recovering", described as "tiredness"; eye pain (medically significant) with onset feb2022, outcome "recovered" (feb2022), described as "eye pain"; depressed mood (medically significant) with onset feb2022, outcome "recovering", described as "low mood"; and decreased appetite (medically significant) with onset feb2022, outcome "recovering", described as "appetite lost." clinical course: patient has not had symptoms associated with covid-19 and has not had a covid-19 test. he is not enrolled in a clinical trial. no follow-up attempts are possible; information about lot/batch number cannot be obtained. no further information is expected

Lab Data
na
List of symptoms
fatigue headache decreased appetite muscle spasms eye pain dyspnoea oropharyngeal pain depressed mood
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?
No
Allergies:
na
Current Illness
na